DEPARTMENT OF INSURANCE
Affiliations
NameM & J Insurance Service Inc.DOIID399250NAIC NPN1995093
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty8/15/2000 3/31/2026
ActiveResidentAgentCasualty8/15/2000 3/31/2026
InactiveResidentAgentGeneral Lines8/26/19948/15/2000 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Alternative Insurance Corporation301697Agent - Casualty12/15/20152/2/2021
InactiveAmerican Alternative Insurance Corporation301697Agent - Property12/15/20152/2/2021
ActiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty3/31/2017 
ActiveAmerican Bankers Insurance Company of Florida300360Agent - Property3/31/2017 
InactiveAmerican Family Home Insurance Company301817Agent - Casualty10/7/201511/14/2021
InactiveAmerican Family Home Insurance Company301817Agent - Property10/7/201511/14/2021
InactiveAmerican Interstate Insurance Company301092Agent - Casualty11/30/20107/1/2014
InactiveAmerican Interstate Insurance Company301092Agent - Property11/30/20107/1/2014
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty10/7/201511/14/2021
InactiveAmerican Modern Home Insurance Company300791Agent - Property10/7/201511/14/2021
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty2/24/2021 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property2/24/2021 
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty10/7/201511/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property10/7/201511/14/2021
InactiveAssurance Company of America300432Agent - Casualty12/7/20004/17/2014
InactiveAssurance Company of America300432Agent - Property12/7/20004/17/2014
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty10/14/2009 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property10/14/2009 
InactiveBristol West Insurance Company301655Agent - Casualty9/25/200912/23/2013
InactiveBristol West Insurance Company301655Agent - Property9/25/200912/23/2013
InactiveCelina Mutual Insurance Company (The)301908Agent - Casualty6/21/20108/22/2011
InactiveCelina Mutual Insurance Company (The)301908Agent - Property6/21/20108/22/2011
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty9/8/2004 
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Property9/8/2004 
InactiveClarendon National Insurance Company300843Agent - Casualty12/21/20003/31/2008
InactiveClarendon National Insurance Company300843Agent - Property12/21/20003/31/2008
ActiveClearPath Insurance Company979815Agent - Casualty1/1/2018 
ActiveEncompass Indemnity Company546376Agent - Casualty11/29/2017 
ActiveEncompass Indemnity Company546376Agent - Property11/29/2017 
InactiveEncompass Insurance Company of America556578Agent - Casualty11/29/201712/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property11/29/201712/13/2018
InactiveFarmington Casualty Company301137Agent - Casualty6/30/201611/4/2022
InactiveFarmington Casualty Company301137Agent - Property6/30/201611/4/2022
ActiveFidelity and Guaranty Insurance Company301009Agent - Casualty3/7/2022 
ActiveFidelity and Guaranty Insurance Company301009Agent - Property3/7/2022 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/9/200212/23/2013
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/9/200212/23/2013
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/19/20124/29/2013
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/19/20124/29/2013
InactiveForemost Signature Insurance Company300140Agent - Casualty11/19/20124/29/2013
InactiveForemost Signature Insurance Company300140Agent - Property11/19/20124/29/2013
InactiveGlatfelter Insurance Company301640Agent - Casualty12/7/200011/30/2007
InactiveGlatfelter Insurance Company301640Agent - Property12/7/200011/30/2007
ActiveGreat American Alliance Insurance Company301247Agent - Casualty3/7/2016 
ActiveGreat American Alliance Insurance Company301247Agent - Property3/7/2016 
ActiveGreat American Assurance Company300327Agent - Casualty3/7/2016 
ActiveGreat American Assurance Company300327Agent - Property3/7/2016 
ActiveGreat American Insurance Company301586Agent - Casualty3/7/2016 
ActiveGreat American Insurance Company301586Agent - Property3/7/2016 
ActiveGreat American Insurance Company of New York301897Agent - Casualty3/7/2016 
ActiveGreat American Insurance Company of New York301897Agent - Property3/7/2016 
InactiveHallmark National Insurance Company300494Agent - Casualty4/2/201011/20/2017
InactiveHallmark National Insurance Company300494Agent - Property4/2/201011/20/2017
ActiveHartford Accident and Indemnity Company301917Agent - Casualty7/5/2010 
ActiveHartford Accident and Indemnity Company301917Agent - Property7/5/2010 
InactiveHartford Casualty Insurance Company301332Agent - Casualty10/8/20098/22/2017
InactiveHartford Casualty Insurance Company301332Agent - Property10/8/20098/22/2017
ActiveHartford Fire Insurance Company300628Agent - Casualty12/23/2009 
ActiveHartford Fire Insurance Company300628Agent - Property12/23/2009 
ActiveHartford Insurance Company of the Midwest301918Agent - Casualty1/6/2011 
ActiveHartford Insurance Company of the Midwest301918Agent - Property1/6/2011 
ActiveHartford Insurance Company of the Southeast1014204Agent - Casualty5/26/2021 
ActiveHartford Insurance Company of the Southeast1014204Agent - Property5/26/2021 
ActiveHartford Underwriters Insurance Company301064Agent - Casualty10/18/2020 
ActiveHartford Underwriters Insurance Company301064Agent - Property10/18/2020 
ActiveInsurance Company of the State of Pennsylvania300807Agent - Casualty10/20/2010 
ActiveInsurance Company of the State of Pennsylvania300807Agent - Property10/20/2010 
ActiveMarkel Insurance Company301475Agent - Casualty8/15/2000 
InactiveMarkel Insurance Company301475Agent - General Lines8/7/19958/15/2000
ActiveMarkel Insurance Company301475Agent - Property8/15/2000 
InactiveMaryland Casualty Company301719Agent - Casualty12/7/20004/17/2014
InactiveMaryland Casualty Company301719Agent - Property12/7/20004/17/2014
InactiveMeridian Citizens Mutual Insurance Company300935Agent - Casualty4/2/201312/1/2013
InactiveMeridian Citizens Mutual Insurance Company300935Agent - Property4/2/201312/1/2013
InactiveMeridian Mutual Insurance Company301303Agent - Casualty9/21/20006/1/2001
InactiveMeridian Mutual Insurance Company301303Agent - Property9/21/20006/1/2001
InactiveMeridian Security Insurance Company300423Agent - Casualty4/2/201012/1/2013
InactiveMeridian Security Insurance Company300423Agent - Property4/2/201012/1/2013
InactiveNorthern Insurance Company of New York301317Agent - Casualty12/7/20004/17/2014
InactiveNorthern Insurance Company of New York301317Agent - Property12/7/20004/17/2014
ActiveNutmeg Insurance Company751698Agent - Casualty9/19/2021 
ActiveNutmeg Insurance Company751698Agent - Property9/19/2021 
InactiveOmni Indemnity Company301456Agent - Casualty8/15/200010/20/2009
InactiveOmni Indemnity Company301456Agent - General Lines8/15/20008/15/2000
InactiveOmni Indemnity Company301456Agent - Property8/15/200010/20/2009
ActivePhiladelphia Indemnity Insurance Company301221Agent - Casualty12/24/2009 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Property12/24/2009 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty10/7/2010 
ActiveProgressive Casualty Insurance Company300696Agent - Property10/7/2010 
ActiveProgressive Northern Insurance Company301378Agent - Casualty10/7/2010 
ActiveProgressive Northern Insurance Company301378Agent - Property10/7/2010 
ActiveSentinel Insurance Company, Limited501696Agent - Casualty10/2/2009 
ActiveSentinel Insurance Company, Limited501696Agent - Property10/2/2009 
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty10/22/201412/14/2016
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property10/22/201412/14/2016
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty1/21/201012/5/2013
InactiveSt. Paul Guardian Insurance Company301372Agent - Property1/21/201012/5/2013
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty1/21/201012/5/2013
InactiveSt. Paul Mercury Insurance Company300783Agent - Property1/21/201012/5/2013
InactiveSt. Paul Protective Insurance Company301215Agent - Casualty11/2/202111/4/2022
InactiveSt. Paul Protective Insurance Company301215Agent - Property11/2/202111/4/2022
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty5/9/2006 
ActiveStandard Fire Insurance Company (The)301068Agent - Property5/9/2006 
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty4/2/201012/1/2013
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property4/2/201012/1/2013
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty4/2/201012/1/2013
InactiveState Automobile Mutual Insurance Company301824Agent - Property4/2/201012/1/2013
ActiveThe Phoenix Insurance Company301502Agent - Casualty9/8/2004 
ActiveThe Phoenix Insurance Company301502Agent - Property9/8/2004 
InactiveTravCo Insurance Company301828Agent - Casualty9/1/20004/16/2004
InactiveTravCo Insurance Company301828Agent - Property9/1/20004/16/2004
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty9/3/20024/16/2004
InactiveTravelers Casualty Company of Connecticut301505Agent - Property9/3/20024/16/2004
ActiveTravelers Casualty Insurance Company of America300522Agent - Casualty5/9/2006 
ActiveTravelers Casualty Insurance Company of America300522Agent - Property5/9/2006 
InactiveTravelers Casualty and Surety Company301067Agent - Casualty9/8/200411/30/2017
InactiveTravelers Casualty and Surety Company301067Agent - Property9/8/200411/30/2017
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty3/3/2010 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property3/3/2010 
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/20068/2/2013
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/20068/2/2013
InactiveTravelers Commercial Insurance Company301506Agent - Casualty10/14/200912/5/2013
InactiveTravelers Commercial Insurance Company301506Agent - Property10/14/200912/5/2013
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/19/2005 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/19/2005 
ActiveTravelers Indemnity Company (The)301855Agent - Casualty9/8/2004 
ActiveTravelers Indemnity Company (The)301855Agent - Property9/8/2004 
ActiveTravelers Indemnity Company of America (The)301093Agent - Casualty9/8/2004 
ActiveTravelers Indemnity Company of America (The)301093Agent - Property9/8/2004 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty9/8/2004 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property9/8/2004 
ActiveTravelers Personal Insurance Company705785Agent - Casualty2/27/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property2/27/2019 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty9/8/2004 
ActiveTravelers Property Casualty Company of America301649Agent - Property9/8/2004 
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty9/3/20024/16/2004
InactiveTravelers Property Casualty Insurance Company301508Agent - Property9/3/20024/16/2004
ActiveTrumbull Insurance Company300242Agent - Casualty8/21/2000 
ActiveTrumbull Insurance Company300242Agent - Property8/21/2000 
ActiveTwin City Fire Insurance Company300721Agent - Casualty7/26/2012 
ActiveTwin City Fire Insurance Company300721Agent - Property7/26/2012 
InactiveUnderwriters at Lloyd's, London300658Agent - Casualty8/15/20001/28/2016
InactiveUnderwriters at Lloyd's, London300658Agent - General Lines8/26/19948/15/2000
InactiveUnderwriters at Lloyd's, London300658Agent - Property8/15/20001/28/2016
ActiveUnited Financial Casualty Company301886Agent - Casualty10/7/2010 
ActiveUnited Financial Casualty Company301886Agent - Property10/7/2010 
ActiveWestern Surety Company300283Agent - Casualty5/6/2010 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBaldwin, Tanner M. 836469Agent - Casualty6/26/2019 
ActiveBaldwin, Tanner M. 836469Agent - Property6/26/2019 
InactiveBushnell, Fara G 368578Agent - Casualty7/29/200910/31/2020
InactiveBushnell, Fara G 368578Agent - Property7/29/200910/31/2020
InactiveChristman, John 685245Agent - Casualty9/19/20222/16/2023
InactiveChristman, John 685245Agent - Property9/19/20222/16/2023
InactiveDean, Brandy Shilah 568381Agent - Casualty11/8/201112/31/2015
InactiveDean, Brandy Shilah 568381Agent - Property11/8/201112/31/2015
InactiveEasley, Erin Elizabeth 345380Agent - Casualty8/22/20116/12/2013
InactiveEasley, Erin Elizabeth 345380Agent - Property8/22/20116/12/2013
InactiveFries, John Patrick 546817Agent - Casualty10/1/20098/9/2011
InactiveFries, John Patrick 546817Agent - Property10/1/20098/9/2011
ActiveGibson, Nicole Christine 655046Agent - Casualty6/26/2019 
ActiveGibson, Nicole Christine 655046Agent - Property6/26/2019 
InactiveGott, Ashley Dean 574177Agent - Casualty7/29/20092/1/2016
InactiveGott, Ashley Dean 574177Agent - Property7/29/20092/1/2016
InactiveHills, George W 702061Agent - Casualty7/29/20095/31/2013
InactiveHills, George W 702061Agent - Property7/29/20095/31/2013
DeniedHuguenin, Farrington L 1112971Agent - Casualty  
DeniedHuguenin, Farrington L 1112971Agent - Property  
InactiveJones, Bobby G 313668Agent - Casualty8/14/20066/26/2019
InactiveJones, Bobby G 313668Agent - Property8/14/20066/26/2019
ActiveJones, Kathy Lundy 320752Agent - Casualty7/29/2009 
ActiveJones, Kathy Lundy 320752Agent - Property7/29/2009 
InactiveJones, Kenneth Ray 314580Agent - Casualty2/10/20037/1/2004
InactiveJones, Kenneth Ray 314580Agent - Property2/10/20037/1/2004
ActiveJones, William Lynn 378928Agent - Casualty7/29/2009 
InactiveJones, William Lynn 378928Agent - General Lines8/26/19948/15/2000
ActiveJones, William Lynn 378928Agent - Property7/29/2009 
InactiveKearns, Michael Douglas 714881Agent - Casualty9/6/201110/1/2011
InactiveKearns, Michael Douglas 714881Agent - Property9/6/201110/1/2011
InactiveKiper, Chad Aaron 621625Agent - Casualty1/20/20104/30/2018
InactiveKiper, Chad Aaron 621625Agent - Property1/20/20104/30/2018
ActiveMiller, Robert Terry 389718Agent - Casualty2/16/2011 
InactiveMiller, Robert Terry 389718Agent - General Lines8/26/19948/15/2000
ActiveMiller, Robert Terry 389718Agent - Property2/16/2011 
InactivePearson, Delmar Loran 337122Agent - Casualty7/29/20096/26/2019
InactivePearson, Delmar Loran 337122Agent - Property7/29/20096/26/2019
ActivePinczewski, Elizabeth King 545516Agent - Casualty4/27/2010 
ActivePinczewski, Elizabeth King 545516Agent - Property5/24/2010 
InactiveRoss, Mary Jarvis 389334Agent - Casualty8/15/20002/10/2003
InactiveRoss, Mary Jarvis 389334Agent - General Lines8/26/19948/15/2000
InactiveRoss, Mary Jarvis 389334Agent - Property8/15/20002/10/2003
InactiveStanczak, William Lawrence 664786Agent - Casualty7/2/20188/1/2019
InactiveStanczak, William Lawrence 664786Agent - Property7/29/20098/1/2019
InactiveWade, Judy 688156Agent - Casualty7/29/20092/1/2010
InactiveWade, Judy 688156Agent - Property7/29/20092/1/2010
InactiveWalden, MacKenzie Elliott 922540Agent - Casualty6/26/20198/1/2022
InactiveWalden, MacKenzie Elliott 922540Agent - Property6/26/20198/1/2022

© Commonwealth of Kentucky. All rights reserved.