DEPARTMENT OF INSURANCE

Affiliations

Name	Kentucky League Of Cities Insurance Agency, Inc. DBA : Kentucky League of Cities Managing General Agency	DOIID	399267	NAIC NPN	7221539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	5/8/1996		3/31/2026
Active	Resident	Agent	Life	7/10/1996		3/31/2026
Active	Resident	Agent	Casualty	8/15/2000		3/31/2026
Active	Resident	Agent	Property	8/15/2000		3/31/2026
Inactive	Resident	Agent	Health Maintenance Organization	4/17/1996	3/1/2001
Inactive	Resident	Agent	General Lines	8/1/1996	8/15/2000
Pending	Resident	Managing General Agent	Not Applicable
Inactive	Resident	Surplus Lines Broker	Not Applicable	4/21/2009	10/1/2015
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	6/13/2007
Active	ACE American Insurance Company	300625	Agent - Property	6/13/2007
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	6/13/2007
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	6/13/2007
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/21/2007
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/21/2007
Active	Affiliated FM Insurance Company	300108	Agent - Casualty	10/1/2001
Active	Affiliated FM Insurance Company	300108	Agent - Property	10/1/2001
Active	All Savers Insurance Company	301940	Agent - Health	5/15/2023
Active	All Savers Insurance Company	301940	Agent - Life	5/15/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/17/2001	6/29/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/17/2001	6/29/2020
Active	American Fidelity Assurance Company	301004	Agent - Health	9/26/2019
Active	American Fidelity Assurance Company	301004	Agent - Life	9/26/2019
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/29/1999	9/26/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/29/1999	9/26/2003
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/21/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/21/2001	10/16/2012
Active	Anthem Life Insurance Company	301209	Agent - Health	7/10/1996
Active	Anthem Life Insurance Company	301209	Agent - Life	7/10/1996
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	6/13/2007
Active	Bankers Standard Insurance Company	301620	Agent - Property	6/13/2007
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	2/4/2005	3/31/2019
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	3/27/2013
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	4/17/1996	3/1/2001
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	3/20/2000	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/20/2000	4/1/2007
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/22/2007
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/22/2007
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/26/2010	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/26/2010	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	5/26/2010	8/20/2012
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	1/15/2013	12/8/2017
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	1/15/2013	12/8/2017
Active	Delta Dental of Kentucky, Inc.	301166	Agent - Health	1/10/2002
Inactive	Dental Choice, Inc.	301702	Agent - Health	1/10/2002	3/12/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/30/2019	12/15/2020
Inactive	Great American Insurance Company	301586	Agent - Casualty	7/20/2005	3/5/2021
Inactive	Great American Insurance Company	301586	Agent - Property	7/20/2005	3/5/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Health	1/13/2014
Active	Guardian Life Insurance Company of America	301316	Agent - Life	1/13/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/29/2020	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/11/1997	3/2/1999
Active	Humana Insurance Company	301104	Agent - Health	4/25/2019
Active	Humana Insurance Company	301104	Agent - Life	4/25/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/29/2020	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/29/2020	12/15/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/28/2012	8/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/28/2012	8/20/2012
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/13/2007
Active	Indemnity Insurance Company of North America	301760	Agent - Property	6/13/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/10/2010	8/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/26/2010	8/20/2012
Active	Kentucky League of Cities Insurance Services Association	300026	Agent - Casualty	8/15/2000
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - General Lines	8/1/1996	8/15/2000
Active	Kentucky League of Cities Insurance Services Association	300026	Agent - Property	8/15/2000
Active	Life Insurance Company of North America	300711	Agent - Health	11/14/2014
Active	Life Insurance Company of North America	300711	Agent - Life	11/14/2014
Inactive	Medical Life Insurance Company	300693	Agent - Health	7/15/1999	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	7/15/1999	12/31/2004
Active	National Guardian Life Insurance Company	300596	Agent - Health	6/20/2018
Inactive	National Interstate Insurance Company	301301	Agent - Casualty	6/8/2004	2/21/2006
Inactive	National Interstate Insurance Company	301301	Agent - Property	6/8/2004	2/21/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/23/2006	12/27/2022
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/23/2006	12/27/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/16/2007
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	3/16/2007
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/15/2000	3/18/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	1/28/1997	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000	3/18/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/15/2000	3/18/2024
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	10/2/1999	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/15/2000	3/18/2024
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	6/13/2007
Active	Pacific Employers Insurance Company	301753	Agent - Property	6/13/2007
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/21/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/21/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/27/1997	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/27/1997	8/24/2000
Active	Safety National Casualty Corporation	300390	Agent - Casualty	8/1/2005
Active	Safety National Casualty Corporation	300390	Agent - Property	8/1/2005
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	4/22/1997	12/31/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	4/22/1997	12/31/1998
Inactive	Sentry Select Insurance Company	301648	Agent - Health	5/8/1996	1/15/2004
Active	Standard Insurance Company	300185	Agent - Health	2/9/2001
Active	Standard Insurance Company	300185	Agent - Life	2/9/2001
Active	Texas Life Insurance Company	300345	Agent - Life	7/31/2023
Inactive	Time Insurance Company	300683	Agent - Health	10/2/1999	3/22/2005
Inactive	Time Insurance Company	300683	Agent - Life	10/2/1999	3/22/2005
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/15/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	5/15/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/15/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	3/22/1999	3/1/2001
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/15/2023
Active	Vision Service Plan Insurance Company	300526	Agent - Health	8/11/2010
Inactive	West American Insurance Company	301112	Agent - Casualty	8/15/2000	3/18/2024
Inactive	West American Insurance Company	301112	Agent - General Lines	1/28/1997	8/15/2000
Inactive	West American Insurance Company	301112	Agent - Property	8/15/2000	3/18/2024
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	6/21/2007	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	6/21/2007	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011
Active	Western Surety Company	300283	Agent - Casualty	8/4/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Lexington Inc.	401285	Agent - Health	9/13/1996	12/31/2001
Inactive	Acordia of Lexington Inc.	401285	Agent - Life	9/13/1996	12/31/2001
Active	Andersen, Meleasa E	372952	Agent - Casualty	11/14/2018
Denied	Andersen, Meleasa E	372952	Agent - Health
Denied	Andersen, Meleasa E	372952	Agent - Life
Active	Andersen, Meleasa E	372952	Agent - Property	11/14/2018
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/30/1999	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/30/1999	12/31/2001
Active	Baird, Jeremy David	803736	Agent - Casualty	11/14/2018
Active	Baird, Jeremy David	803736	Agent - Health	11/14/2018
Active	Baird, Jeremy David	803736	Agent - Life	11/14/2018
Active	Baird, Jeremy David	803736	Agent - Property	11/14/2018
Denied	Crawford, Tammy Rae	505216	Agent - Casualty
Denied	Crawford, Tammy Rae	505216	Agent - Property
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	12/31/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Prepaid Dental Plan	8/9/1999	3/1/2001
Inactive	Heathman, Lydia Mae	388544	Agent - Casualty	1/22/2004	3/14/2008
Inactive	Heathman, Lydia Mae	388544	Agent - Property	1/22/2004	3/14/2008
Inactive	Ison, John Leonard	370794	Agent - Casualty	10/31/2006	1/30/2007
Inactive	Ison, John Leonard	370794	Agent - Property	10/31/2006	1/30/2007
Inactive	James, Tim Wilson	331235	Agent - Health	3/1/2001	1/30/2007
Inactive	James, Tim Wilson	331235	Agent - Health Maintenance Organization	4/11/1997	3/1/2001
Active	Lynn, Heidi Ann	342698	Agent - Casualty	11/14/2018
Active	Lynn, Heidi Ann	342698	Agent - Health	1/22/2004
Active	Lynn, Heidi Ann	342698	Agent - Life	1/22/2004
Active	Lynn, Heidi Ann	342698	Agent - Property	11/14/2018
Inactive	Moore, Larry Eugene	353766	Agent - Casualty	8/15/2000	8/1/2019
Inactive	Moore, Larry Eugene	353766	Agent - General Lines	8/1/1996	8/15/2000
Inactive	Moore, Larry Eugene	353766	Agent - Health	8/1/1996	8/1/2019
Inactive	Moore, Larry Eugene	353766	Agent - Health Maintenance Organization	7/10/1996	8/1/1996
Inactive	Moore, Larry Eugene	353766	Agent - Life	8/1/1996	8/1/2019
Inactive	Moore, Larry Eugene	353766	Agent - Property	8/15/2000	8/1/2019
Inactive	Moore, Larry Eugene	353766	Surplus Lines Broker - Not Applicable	4/21/2009	7/31/2015
Inactive	Nemes, Martin Stephen	393630	Agent - Casualty	7/13/2010	2/28/2018
Inactive	Nemes, Martin Stephen	393630	Agent - Health	10/24/2013	2/28/2018
Inactive	Nemes, Martin Stephen	393630	Agent - Life	10/24/2013	2/28/2018
Inactive	Nemes, Martin Stephen	393630	Agent - Property	7/13/2010	2/28/2018
Denied	O Nan, Joseph R	615156	Agent - Casualty
Inactive	O Nan, Joseph R	615156	Agent - Health	6/20/2008	11/30/2020
Inactive	O Nan, Joseph R	615156	Agent - Life	6/20/2008	11/30/2020
Denied	O Nan, Joseph R	615156	Agent - Property
Inactive	Rosewell, Howard Lewis	390099	Agent - Casualty	11/14/2018	6/1/2023
Inactive	Rosewell, Howard Lewis	390099	Agent - Health	11/20/2018	6/1/2023
Inactive	Rosewell, Howard Lewis	390099	Agent - Life	11/20/2018	6/1/2023
Inactive	Rosewell, Howard Lewis	390099	Agent - Property	11/14/2018	6/1/2023
Inactive	Smith, David Bruce	312738	Agent - Casualty	1/22/2004	12/19/2007
Inactive	Smith, David Bruce	312738	Agent - Health	1/22/2004	9/8/2007
Inactive	Smith, David Bruce	312738	Agent - Life	1/22/2004	9/8/2007
Inactive	Smith, David Bruce	312738	Agent - Property	1/22/2004	12/19/2007
Inactive	Wallace, Amanda Wallace	985172	Agent - Casualty	10/13/2022	4/1/2024
Denied	Wallace, Amanda Wallace	985172	Agent - Health
Denied	Wallace, Amanda Wallace	985172	Agent - Life
Inactive	Wallace, Amanda Wallace	985172	Agent - Property	10/13/2022	4/1/2024
Inactive	Westerfield, Callie	693848	Agent - Casualty	2/13/2012	12/19/2016
Denied	Westerfield, Callie	693848	Agent - Health
Denied	Westerfield, Callie	693848	Agent - Life
Inactive	Westerfield, Callie	693848	Agent - Property	2/13/2012	12/19/2016