DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mountain Insurance Agency Inc.	DOIID	399460	NAIC NPN	7221672

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	10/11/2001
Inactive	Resident	Agent	Property	8/15/2000	10/11/2001
Inactive	Resident	Agent	General Lines	8/2/1982	8/15/2000
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	8/2/1982	3/31/1998
Inactive	Infinity Insurance Company	300416	Agent - General Lines	4/6/1994	3/31/1998
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	9/21/1982	3/31/1996
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	3/24/1995	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	10/11/2001
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	3/24/1995	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	10/11/2001
Inactive	Progressive Specialty Insurance Company	300797	Agent - General Lines	6/26/1991	3/31/1996
Inactive	Transport Insurance Company	301683	Agent - General Lines	9/7/1993	3/31/1996

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ford, Bobby Luster	365170	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Ford, Bobby Luster	365170	Agent - General Lines	8/2/1982	8/15/2000
Inactive	Ford, Bobby Luster	365170	Agent - Property	8/15/2000	10/11/2001