DEPARTMENT OF INSURANCE
Affiliations
NameStaley, David CollinsDOIID373946NAIC NPN7201921
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentCasualty8/15/20003/31/2021 
InactiveResidentAgentProperty8/15/20003/31/2021 
InactiveResidentAgentGeneral Lines10/28/19988/15/2000 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFB Insurance Company (The)301763Agent - Casualty8/15/20009/22/2020
InactiveFB Insurance Company (The)301763Agent - General Lines10/28/19988/15/2000
InactiveFB Insurance Company (The)301763Agent - Property8/15/20009/22/2020
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Casualty8/15/20009/22/2020
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - General Lines10/28/19988/15/2000
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Property8/15/20009/22/2020
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Property5/7/20039/22/2020
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Casualty5/7/20039/22/2020

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