DEPARTMENT OF INSURANCE
Affiliations
NameKentucky Employers Safety Assoc.DOIID397901NAIC NPN7220596
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAdjusterIndependent2/5/19963/31/1998 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveKelley, Thomas R 391757Independent Adjuster - Property & Casualty2/5/19968/27/1996
InactiveWhitehouse, Francis Bartlett 392008Adjuster - Independent2/5/19963/31/1998

© Commonwealth of Kentucky. All rights reserved.