DEPARTMENT OF INSURANCE
Affiliations
NameFlorists' Insurance Service Inc.DOIID398722NAIC NPN758590
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty8/15/2000 3/31/2025
ActiveNon ResidentAgentCasualty8/15/2000 3/31/2025
ActiveNon ResidentAgentHealth1/25/1999 3/31/2025
ActiveNon ResidentAgentLife1/25/1999 3/31/2025
InactiveNon ResidentAgentGeneral Lines1/25/19998/15/2000 
InactiveNon ResidentAgentHealth Maintenance Organization2/28/20003/1/2001 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty3/12/2016 
ActiveACE American Insurance Company300625Agent - Property3/12/2016 
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20193/29/2024
InactiveAmerican Economy Insurance Company300315Agent - General Lines4/13/20008/15/2000
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20193/29/2024
InactiveAmerican States Insurance Company301230Agent - Casualty8/15/200012/26/2001
InactiveAmerican States Insurance Company301230Agent - General Lines4/13/20008/15/2000
InactiveAmerican States Insurance Company301230Agent - Property8/15/200012/26/2001
InactiveAmerican Zurich Insurance Company300592Agent - Casualty9/16/200910/15/2015
InactiveAmerican Zurich Insurance Company300592Agent - Property9/16/200910/15/2015
InactiveArch Life Insurance Company of America301653Agent - Health1/25/19992/3/2003
InactiveArch Life Insurance Company of America301653Agent - Life1/25/19992/3/2003
InactiveAssurance Company of America300432Agent - Casualty9/16/200912/16/2014
InactiveAssurance Company of America300432Agent - Property9/16/200912/16/2014
ActiveBankers Standard Insurance Company301620Agent - Casualty3/12/2016 
ActiveBankers Standard Insurance Company301620Agent - Property3/12/2016 
ActiveBanner Life Insurance Company301696Agent - Health9/5/2008 
ActiveBanner Life Insurance Company301696Agent - Life9/5/2008 
InactiveCompBenefits Dental, Inc.591692Agent - Health4/25/20087/12/2018
InactiveCompBenefits Insurance Company301864Agent - Health4/25/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life4/25/20087/2/2013
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20097/12/2018
InactiveDentiCare, Inc.300655Agent - Health3/12/200411/1/2005
InactiveEmpire Fire and Marine Insurance Company300666Agent - Property11/26/20012/25/2008
ActiveFederal Insurance Company301144Agent - Casualty1/30/2001 
ActiveFederal Insurance Company301144Agent - Property1/30/2001 
InactiveFidelity Security Life Insurance Company300466Agent - Health5/15/20031/5/2017
InactiveFidelity Security Life Insurance Company300466Agent - Life5/15/20031/5/2017
InactiveFireman's Fund Insurance Company301423Agent - Property4/9/20041/9/2009
InactiveFirst Colony Life Insurance Company301179Agent - Life12/13/20061/1/2007
InactiveFirst National Insurance Company of America301690Agent - Casualty2/15/200210/13/2022
InactiveFirst National Insurance Company of America301690Agent - Property2/15/200210/13/2022
ActiveFlorists' Mutual Insurance Company300484Agent - Casualty8/15/2000 
InactiveFlorists' Mutual Insurance Company300484Agent - General Lines1/25/19998/15/2000
ActiveFlorists' Mutual Insurance Company300484Agent - Property8/15/2000 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/2/2005 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/2/2005 
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/20/20128/29/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/20/20128/29/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty11/20/20128/29/2018
InactiveForemost Signature Insurance Company300140Agent - Property11/20/20128/29/2018
InactiveGeneral Insurance Company of America300261Agent - Casualty2/15/20023/29/2024
InactiveGeneral Insurance Company of America300261Agent - Property2/15/20023/29/2024
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health4/24/200912/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/7/2012
InactiveHartford Accident and Indemnity Company301917Agent - Casualty6/14/200611/7/2008
InactiveHartford Accident and Indemnity Company301917Agent - Property6/14/200611/7/2008
InactiveHartford Casualty Insurance Company301332Agent - Casualty6/14/200611/7/2008
InactiveHartford Casualty Insurance Company301332Agent - Property6/14/200611/7/2008
InactiveHartford Fire Insurance Company300628Agent - Casualty6/14/200611/7/2008
InactiveHartford Fire Insurance Company300628Agent - Property6/14/200611/7/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty6/14/200611/7/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Property6/14/200611/7/2008
InactiveHartford Underwriters Insurance Company301064Agent - Casualty6/14/200611/7/2008
InactiveHartford Underwriters Insurance Company301064Agent - Property6/14/200611/7/2008
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20017/12/2018
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization2/28/20003/1/2001
InactiveHumana Insurance Company301104Agent - Health3/1/20017/12/2018
InactiveHumana Insurance Company301104Agent - Life3/1/20017/12/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/11/20077/12/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/11/20077/12/2018
InactiveHumanaDental Insurance Company301457Agent - Health9/11/20072/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life9/11/20072/23/2012
ActiveIndemnity Insurance Company of North America301760Agent - Casualty3/12/2016 
ActiveIndemnity Insurance Company of North America301760Agent - Property3/12/2016 
InactiveKanawha Insurance Company300127Agent - Health6/23/200810/22/2015
InactiveKanawha Insurance Company300127Agent - Life6/23/200810/22/2015
InactiveMaryland Casualty Company301719Agent - Casualty9/16/200912/16/2014
InactiveMaryland Casualty Company301719Agent - Property9/16/200912/16/2014
InactiveNorthern Insurance Company of New York301317Agent - Casualty9/16/200912/16/2014
InactiveNorthern Insurance Company of New York301317Agent - Property9/16/200912/16/2014
ActivePacific Employers Insurance Company301753Agent - Casualty3/12/2016 
ActivePacific Employers Insurance Company301753Agent - Property3/12/2016 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty3/24/2004 
ActiveProgressive Casualty Insurance Company300696Agent - Property3/24/2004 
InactiveProgressive Max Insurance Company301034Agent - Casualty12/27/200012/28/2005
InactiveProgressive Max Insurance Company301034Agent - Property12/27/200012/28/2005
InactiveProgressive Northern Insurance Company301378Agent - Casualty12/27/200011/5/2018
InactiveProgressive Northern Insurance Company301378Agent - Property12/27/200011/5/2018
InactiveProgressive Northwestern Insurance Company300441Agent - Casualty12/27/200012/28/2005
InactiveProgressive Northwestern Insurance Company300441Agent - Property12/27/200012/28/2005
InactivePrudential Insurance Company of America300784Agent - Health9/10/19991/8/2014
InactivePrudential Insurance Company of America300784Agent - Life9/10/19991/8/2014
InactiveRLI Insurance Company301217Agent - Casualty9/1/201911/8/2021
InactiveRLI Insurance Company301217Agent - Property9/1/201911/8/2021
InactiveRural Community Insurance Company301891Agent - Property11/26/20011/9/2009
InactiveSAFECO Insurance Company of America300159Agent - Casualty2/15/20023/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property2/15/20023/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty2/15/20023/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property2/15/20023/29/2024
InactiveSentinel Insurance Company, Limited501696Agent - Casualty6/14/20068/22/2017
InactiveSentinel Insurance Company, Limited501696Agent - Property6/14/20068/22/2017
InactiveTime Insurance Company300683Agent - Health5/5/201112/4/2012
InactiveTime Insurance Company300683Agent - Life5/5/201112/4/2012
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty5/10/201112/9/2013
InactiveTravelers Casualty and Surety Company of America301334Agent - Property5/10/201112/9/2013
InactiveTwin City Fire Insurance Company300721Agent - Casualty6/14/200611/7/2008
InactiveTwin City Fire Insurance Company300721Agent - Property6/14/200611/7/2008
InactiveUnion Security Insurance Company301844Agent - Health11/1/20051/14/2015
ActiveUnited Financial Casualty Company301886Agent - Casualty12/2/2005 
ActiveUnited Financial Casualty Company301886Agent - Property12/2/2005 
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/23/200211/29/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life7/23/200211/29/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/23/200211/29/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/1/200611/29/2016
ActiveWellpoint Life and Health Insurance Company300469Agent - Health2/15/2003 
ActiveWellpoint Life and Health Insurance Company300469Agent - Life2/15/2003 
ActiveWestern Surety Company300283Agent - Casualty10/17/2002 
InactiveWestport Insurance Corporation300448Agent - Casualty7/7/200612/5/2007
InactiveWestport Insurance Corporation300448Agent - Property7/7/200612/5/2007
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCarroll, James L 630375Agent - Health1/26/20079/30/2010
InactiveCarroll, James L 630375Agent - Life1/26/20079/30/2010
ActiveCook, Malinda J 669178Agent - Casualty4/23/2024 
ActiveCook, Malinda J 669178Agent - Property4/23/2024 
ActiveFaust, Dru Ann 837606Agent - Casualty8/19/2022 
ActiveFaust, Dru Ann 837606Agent - Property8/19/2022 
InactiveGiardina, Barbara Jean 303898Agent - Health1/25/199911/17/2006
InactiveGiardina, Barbara Jean 303898Agent - Health Maintenance Organization2/28/20003/1/2001
InactiveGiardina, Barbara Jean 303898Agent - Life1/25/199911/17/2006
InactiveGould, Mary Ann 359423Agent - Casualty8/15/20008/10/2005
InactiveGould, Mary Ann 359423Agent - General Lines1/25/19998/15/2000
InactiveGould, Mary Ann 359423Agent - Property8/15/20008/10/2005
ActiveGupta, Anil Kumar 1342222Agent - Casualty6/5/2024 
ActiveGupta, Anil Kumar 1342222Agent - Property6/5/2024 
InactiveHodapp, John M 329325Agent - Casualty8/15/20003/10/2022
InactiveHodapp, John M 329325Agent - General Lines1/25/19998/15/2000
InactiveHodapp, John M 329325Agent - Health1/24/20073/10/2022
InactiveHodapp, John M 329325Agent - Life1/24/20073/10/2022
InactiveHodapp, John M 329325Agent - Property8/15/20003/10/2022
ActiveJames, Cathy F 795004Agent - Casualty1/11/2022 
ActiveJames, Cathy F 795004Agent - Property1/11/2022 
ActiveOrnelas, Amparo 1335523Agent - Casualty4/23/2024 
ActiveOrnelas, Amparo 1335523Agent - Property4/23/2024 
InactiveOtsuka, Robert 1323726Agent - Casualty3/6/20244/8/2024
InactiveOtsuka, Robert 1323726Agent - Property3/6/20244/8/2024
InactivePayne, William E 1159996Agent - Casualty1/11/202211/3/2023
InactivePayne, William E 1159996Agent - Property1/11/202211/3/2023
InactivePumphrey, C Richard 357190Agent - Casualty8/15/20005/28/2002
InactivePumphrey, C Richard 357190Agent - General Lines1/25/19998/15/2000
InactivePumphrey, C Richard 357190Agent - Health1/25/19998/3/2002
InactivePumphrey, C Richard 357190Agent - Life1/25/19996/20/2003
InactivePumphrey, C Richard 357190Agent - Property8/15/20005/28/2002
ActiveShelton, Linda L 602919Agent - Casualty8/31/2023 
ActiveShelton, Linda L 602919Agent - Property8/31/2023 
ActiveStriegel, Peggy S 626948Agent - Casualty3/10/2022 
ActiveStriegel, Peggy S 626948Agent - Health3/23/2022 
ActiveStriegel, Peggy S 626948Agent - Life3/23/2022 
ActiveStriegel, Peggy S 626948Agent - Property3/10/2022 
ActiveZimmerman, John Kurt 503465Agent - Casualty1/11/2022 
ActiveZimmerman, John Kurt 503465Agent - Property1/11/2022 

© Commonwealth of Kentucky. All rights reserved.