DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson Jr, Donald W	DOIID	392033	NAIC NPN	547472

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	7/19/2010		4/30/2026
Active	Resident	Agent	Property	7/19/2010		4/30/2026
Active	Resident	Agent	Health	7/19/2010		4/30/2026
Active	Resident	Agent	Casualty	7/19/2010		4/30/2026
Inactive	Resident	Agent	General Lines	3/8/1979	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	6/10/1998	3/1/2001
* 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	ACE American Insurance Company	300625	Agent - General Lines	8/18/1992	3/31/1998
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	8/18/1992	3/31/1998
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	8/18/1992	3/31/1998
Active	All America Insurance Company	300078	Agent - Casualty	10/11/2021
Active	All America Insurance Company	300078	Agent - Property	10/11/2021
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	3/19/1997	8/20/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/19/1997	8/20/2003
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	10/13/2021
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	10/13/2021
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	10/13/2021
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	10/13/2021
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	8/15/2000	6/11/2001
Inactive	American Bankers Insurance Company of Florida	300360	Agent - General Lines	3/24/1992	8/15/2000
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	8/15/2000	6/11/2001
Active	American Economy Insurance Company	300315	Agent - Casualty	6/2/2022
Active	American Economy Insurance Company	300315	Agent - Property	6/2/2022
Active	American Fire and Casualty Company	300567	Agent - Casualty	7/28/2010
Active	American Fire and Casualty Company	300567	Agent - Property	7/28/2010
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/28/2014	4/6/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/28/2014	4/6/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/24/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/24/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/28/2014	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/28/2014	11/14/2021
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	8/11/2006	12/12/2007
Inactive	American Reliable Insurance Company	301889	Agent - Property	8/11/2006	12/12/2007
Active	American Select Insurance Company	301229	Agent - Casualty	10/18/2021
Active	American Select Insurance Company	301229	Agent - Property	10/18/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/28/2014	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/28/2014	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/2/1993	4/30/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/2/1993	4/30/2010
Inactive	Assurance Company of America	300432	Agent - Casualty	10/29/2001	4/30/2010
Inactive	Assurance Company of America	300432	Agent - Property	10/29/2001	4/30/2010
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	7/20/2010	5/22/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	7/20/2010	5/22/2023
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	10/8/2021
Active	Auto-Owners Insurance Company	301480	Agent - Property	10/8/2021
Active	Auto-Owners Life Insurance Company	301368	Agent - Health	10/8/2021
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	10/8/2021
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	8/18/1992	3/31/1998
Active	Banner Life Insurance Company	301696	Agent - Life	5/18/2020
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	3/13/2019
Active	Brighthouse Life Insurance Company	301829	Agent - Health	3/27/2015
Active	Brighthouse Life Insurance Company	301829	Agent - Life	3/27/2015
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/16/2011	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/16/2011	12/7/2017
Active	Central Insurance Company	300965	Agent - Casualty	10/11/2021
Active	Central Insurance Company	300965	Agent - Property	10/11/2021
Inactive	Century Indemnity Company	301310	Agent - General Lines	8/18/1992	3/31/1998
Inactive	Chase Life and Annuity Company	300145	Agent - Health	8/5/1991	12/11/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Life	8/5/1991	12/11/1996
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/28/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/18/2011	7/10/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/28/2010	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/28/2010	4/26/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/18/2011	7/10/2013
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	8/15/2000	11/22/2004
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - General Lines	6/23/1987	8/15/2000
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	8/15/2000	11/22/2004
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	2/18/2011	12/29/2021
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	2/18/2011	12/29/2021
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	8/22/2005	4/30/2010
Inactive	Farmers Insurance Exchange	300336	Agent - Property	8/22/2005	4/30/2010
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/18/2011
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/18/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/4/2011	11/16/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/4/2011	11/16/2020
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/15/2012	12/7/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/15/2012	12/7/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/15/2012	12/7/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/15/2012	12/7/2017
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	11/21/2011	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	11/21/2011	12/14/2016
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	10/29/2001	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/29/2001	11/30/2007
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	5/22/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	2/11/1999	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	5/22/2002
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	10/10/1995	2/9/1998
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	10/10/1995	2/9/1998
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	10/13/2021
Active	Hanover American Insurance Company (The)	300447	Agent - Property	10/13/2021
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	10/13/2021
Active	Hanover Insurance Company (The)	300508	Agent - Property	10/13/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	4/30/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/10/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	5/4/1998	4/30/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/4/1998	4/30/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/18/2011	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/18/2011	7/10/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/18/2011	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/18/2011	2/22/2012
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	8/18/1992	3/31/1998
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/28/2010	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	7/28/2010	2/3/2023
Inactive	Infinity Insurance Company	300416	Agent - Casualty	9/9/2015	3/4/2024
Inactive	Insurance Company of North America	300226	Agent - General Lines	8/18/1992	3/31/1998
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	8/1/1994	4/9/2001
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	8/1/1994	4/9/2001
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	3/26/2001	5/17/2002
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	3/26/2001	5/17/2002
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	3/26/2001	5/17/2002
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	3/26/2001	5/17/2002
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	4/30/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	4/30/2010
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	1/24/2001	4/30/2010
Inactive	Kentucky National Insurance Company	301625	Agent - Property	1/24/2001	4/30/2010
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	8/15/2000	11/22/2004
Inactive	Lamorak Insurance Company	301231	Agent - General Lines	6/23/1987	8/15/2000
Inactive	Lamorak Insurance Company	301231	Agent - Property	8/15/2000	11/22/2004
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/14/2021
Active	Liberty Mutual Insurance Company	301159	Agent - Property	12/14/2021
Inactive	LifeUSA Insurance Company	300386	Agent - Health	3/19/1997	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	3/19/1997	8/2/2002
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/30/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/30/2022
Active	MICO Insurance Company	301664	Agent - Casualty	10/6/2021
Active	MICO Insurance Company	301664	Agent - Property	10/6/2021
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/29/2001	4/30/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	10/29/2001	4/30/2010
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	10/13/2021
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	10/13/2021
Inactive	Midland National Life Insurance Company	300923	Agent - Health	2/17/2005	10/7/2009
Inactive	Midland National Life Insurance Company	300923	Agent - Life	2/17/2005	10/7/2009
Active	Milbank Insurance Company	925185	Agent - Casualty	4/5/2022
Active	Milbank Insurance Company	925185	Agent - Property	4/5/2022
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	4/2/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	4/2/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	4/11/2012
Active	Motorists Mutual Insurance Company	300963	Agent - Property	4/11/2012
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	3/4/1993	3/31/1996
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	3/9/2017	12/17/2020
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/9/2017	12/17/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/28/2010	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/28/2010	4/26/2024
Active	NorthStone Insurance Company	818905	Agent - Casualty	3/13/2019
Inactive	Northern Assurance Company of America The	301331	Agent - Casualty	8/15/2000	4/28/2005
Inactive	Northern Assurance Company of America The	301331	Agent - General Lines	6/23/1987	8/15/2000
Inactive	Northern Assurance Company of America The	301331	Agent - Property	8/15/2000	4/28/2005
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/29/2001	4/30/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/29/2001	4/30/2010
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/28/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	3/8/1979	8/15/2000
Active	Ohio Casualty Insurance Company	301492	Agent - Property	7/28/2010
Active	Ohio Farmers Insurance Company	301667	Agent - Casualty	10/18/2021
Active	Ohio Farmers Insurance Company	301667	Agent - Property	10/18/2021
Active	Ohio Security Insurance Company	300622	Agent - Casualty	7/28/2010
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	11/3/1999	8/15/2000
Active	Ohio Security Insurance Company	300622	Agent - Property	7/28/2010
Inactive	Old American Indemnity Company	301882	Agent - General Lines	7/26/1985	3/31/1998
Active	Old Guard Insurance Company	533854	Agent - Casualty	10/18/2021
Active	Old Guard Insurance Company	533854	Agent - Property	10/18/2021
Active	Owners Insurance Company	300796	Agent - Casualty	10/8/2021
Active	Owners Insurance Company	300796	Agent - Property	10/8/2021
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	8/18/1992	3/31/1998
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	4/5/1995	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	4/5/1995	8/24/2000
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	7/28/2010
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	7/28/2010
Active	Peerless Insurance Company	301910	Agent - Casualty	7/28/2010
Active	Peerless Insurance Company	301910	Agent - Property	7/28/2010
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	3/13/2019
Active	Principal National Life Insurance Company	301926	Agent - Life	8/7/2013
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/31/2012	11/23/2013
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/31/2012	11/23/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/17/1998	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/17/1998	11/10/2004
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/14/2022	12/23/2024
Inactive	RLI Insurance Company	301217	Agent - General Lines	7/11/1990	3/4/1999
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	11/7/2020
Active	SAFECO Insurance Company of America	300159	Agent - Property	11/7/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/10/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/10/2022
Inactive	SPARTA Insurance Company	301523	Agent - Casualty	8/15/2000	11/30/2004
Inactive	SPARTA Insurance Company	301523	Agent - General Lines	6/23/1987	8/15/2000
Inactive	SPARTA Insurance Company	301523	Agent - Property	8/15/2000	11/30/2004
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	12/14/2022
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	8/1/1994	8/15/2000
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	12/14/2022
Active	SummitPoint Insurance Company	819084	Agent - Casualty	3/13/2019
Inactive	Time Insurance Company	300683	Agent - Health	10/14/1991	12/18/2000
Inactive	Time Insurance Company	300683	Agent - Life	10/14/1991	12/18/2000
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	4/30/2010
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	4/30/2010
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	10/15/1999	3/19/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	10/15/1999	11/7/2002
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/25/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/25/2011	12/26/2012
Inactive	Universal Insurance Company	686754	Agent - Casualty	7/23/2010	12/21/2012
Inactive	Universal Insurance Company	686754	Agent - Property	7/23/2010	12/21/2012
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	10/13/2021
Active	Verlan Fire Insurance Company	517102	Agent - Property	10/13/2021
Active	West American Insurance Company	301112	Agent - Casualty	7/28/2010
Active	West American Insurance Company	301112	Agent - Property	7/28/2010
Active	Westfield Champion Insurance Company	1054839	Agent - Casualty	10/18/2021
Active	Westfield Champion Insurance Company	1054839	Agent - Property	10/18/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	10/18/2021
Active	Westfield Insurance Company	301950	Agent - Property	10/18/2021
Active	Westfield National Insurance Company	301036	Agent - Casualty	10/18/2021
Active	Westfield National Insurance Company	301036	Agent - Property	10/18/2021
Active	Westfield Premier Insurance Company	1055055	Agent - Casualty	10/18/2021
Active	Westfield Premier Insurance Company	1055055	Agent - Property	10/18/2021
Active	Westfield Superior Insurance Company	1054978	Agent - Casualty	10/18/2021
Active	Westfield Superior Insurance Company	1054978	Agent - Property	10/18/2021
Active	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	10/18/2021
Active	Westfield Touchstone Insurance Company	1055057	Agent - Property	10/18/2021
Inactive		300277	Agent - Health	7/30/1999	12/14/2006
Inactive		300277	Agent - Life	7/30/1999	12/14/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - General Lines	7/2/1993	8/15/2000
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/2/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/2/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Property	8/15/2000	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Casualty	8/15/2000	12/10/2001
Inactive	Anderson & Associates Inc.	401022	Agent - General Lines	8/27/1991	8/15/2000
Inactive	Anderson & Associates Inc.	401022	Agent - Life	1/8/2019	3/31/2022
Inactive	Anderson & Associates Inc.	401022	Agent - Health	5/30/2011	3/31/2022
Inactive	Anderson & Associates Inc.	401022	Agent - Property	4/15/2011	3/31/2022
Inactive	Anderson & Associates Inc.	401022	Agent - Casualty	4/15/2011	3/31/2022
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/14/1999	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/14/1999	2/28/2003
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	2/13/2025
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	1/1/2002	4/30/2010
Inactive	Medlink Inc	400721	Agent - Health	1/1/2002	4/30/2010
Inactive	NAMIS Insurance Services of Kentucky Inc.	400835	Agent - General Lines	4/30/1997	10/4/1999
Inactive	NAMIS Insurance Services of Kentucky Inc.	400835	Agent - Life	4/30/1997	10/4/1999
Inactive	NAMIS Insurance Services of Kentucky Inc.	400835	Agent - Health	4/30/1997	10/4/1999
Active	Planchoice Inc.	400482	Agent - Life	7/19/2012
Active	Planchoice Inc.	400482	Agent - Health	7/19/2012
Active	Shepherd Insurance, LLC	774397	Agent - Life	6/20/2019
Active	Shepherd Insurance, LLC	774397	Agent - Health	6/20/2019
Active	Shepherd Insurance, LLC	774397	Agent - Property	6/20/2019
Active	Shepherd Insurance, LLC	774397	Agent - Casualty	6/20/2019