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DEPARTMENT OF INSURANCE
Affiliations
Name
Staley, David Collins
DOIID
373946
NAIC NPN
7201921
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
General Lines
10/28/1998
8/15/2000
Inactive
Resident
Agent
Property
8/15/2000
3/31/2021
Inactive
Resident
Agent
Casualty
8/15/2000
3/31/2021
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
FB Insurance Company (The)
301763
Agent - Casualty
8/15/2000
9/22/2020
Inactive
FB Insurance Company (The)
301763
Agent - General Lines
10/28/1998
8/15/2000
Inactive
FB Insurance Company (The)
301763
Agent - Property
8/15/2000
9/22/2020
Inactive
Kentucky Farm Bureau Mutual Insurance Company
300570
Agent - Casualty
8/15/2000
9/22/2020
Inactive
Kentucky Farm Bureau Mutual Insurance Company
300570
Agent - General Lines
10/28/1998
8/15/2000
Inactive
Kentucky Farm Bureau Mutual Insurance Company
300570
Agent - Property
8/15/2000
9/22/2020
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Kentucky Farm Bureau Insurance Agency LLC
399619
Agent - Property
5/7/2003
9/22/2020
Inactive
Kentucky Farm Bureau Insurance Agency LLC
399619
Agent - Casualty
5/7/2003
9/22/2020
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