DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ball, Mary Anne	DOIID	384991	NAIC NPN	7206745

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	8/15/2000	12/31/2020
Inactive	Resident	Agent	Casualty	8/15/2000	12/31/2020
Inactive	Resident	Agent	General Lines	4/21/1999	8/15/2000
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/15/2015	12/31/2020
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/15/2015	12/31/2020
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	5/26/2020
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	4/21/1999	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	5/26/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/15/2015	12/31/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/15/2015	12/31/2020
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	5/26/2020
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	4/21/1999	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	5/26/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jack R. Allen Insurance, Inc.	520704	Agent - Property	2/17/2004	3/31/2017
Inactive	Jack R. Allen Insurance, Inc.	520704	Agent - Casualty	2/17/2004	3/31/2017