DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Allen, Jack Reginald	DOIID	375281	NAIC NPN	7202533

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/27/1963	12/1/2016
Inactive	Resident	Agent	Casualty	8/15/2000	12/1/2016
Inactive	Resident	Agent	Health	11/27/1963	12/1/2016
Inactive	Resident	Agent	General Lines	11/27/1963	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	12/1/2016
* 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	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/27/1963	3/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/13/1993	3/26/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/13/1993	3/26/2003
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	1/20/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	1/20/2015
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	11/7/2014
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	8/28/1969	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	11/7/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/28/2004	1/20/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/28/2004	1/20/2015
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	11/7/2014
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	11/27/1963	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	11/7/2014
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	11/27/1963	11/7/2014
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	11/27/1963	11/7/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	12/1/2016
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	11/7/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	11/7/2014
Inactive	Jack R. Allen Insurance, Inc.	520704	Agent - Life	1/22/2001	12/1/2016
Inactive	Jack R. Allen Insurance, Inc.	520704	Agent - Health	1/22/2001	11/7/2014
Inactive	Jack R. Allen Insurance, Inc.	520704	Agent - Property	8/15/2000	12/1/2016
Inactive	Jack R. Allen Insurance, Inc.	520704	Agent - Casualty	8/15/2000	12/1/2016
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/15/1988	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/15/1988	11/3/2014
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988	11/3/2014
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	11/3/2014
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	11/3/2014