DEPARTMENT OF INSURANCE
Affiliations
NameFirst State Insurance AgencyDOIID399614NAIC NPN7221807
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentGeneral Lines1/20/19998/15/2000 
InactiveResidentAgentProperty8/15/20002/23/2004 
InactiveResidentAgentLife10/16/20013/31/2013 
InactiveResidentAgentCasualty8/15/20002/23/2004 
InactiveResidentAgentHealth10/16/20013/31/2013 
* 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 Economy Insurance Company300315Agent - Casualty8/15/20007/11/2002
InactiveAmerican Economy Insurance Company300315Agent - General Lines2/9/19998/15/2000
InactiveAmerican Economy Insurance Company300315Agent - Property8/15/20007/11/2002
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health3/28/20053/31/2013
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life3/28/20053/31/2013
InactiveAmerican States Insurance Company301230Agent - Casualty8/15/20007/11/2002
InactiveAmerican States Insurance Company301230Agent - General Lines1/20/19998/15/2000
InactiveAmerican States Insurance Company301230Agent - Property8/15/20007/11/2002
InactiveAmerican United Life Insurance Company300498Agent - Health12/31/20113/31/2013
InactiveAmerican United Life Insurance Company300498Agent - Life12/31/20113/31/2013
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health11/26/20013/31/2013
InactiveAnthem Insurance Companies, Inc.300941Agent - Health11/26/200110/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health11/26/20013/31/2013
InactiveAnthem Life Insurance Company301209Agent - Life11/26/20013/31/2013
InactiveAssurity Life Insurance Company301099Agent - Health8/6/20123/31/2013
InactiveAssurity Life Insurance Company301099Agent - Life8/6/20123/31/2013
InactiveBanner Life Insurance Company301696Agent - Life2/22/20113/31/2013
InactiveBaptist Health Plan, Inc.300157Agent - Health11/15/20013/31/2013
InactiveBerkshire Life Insurance Company of America300983Agent - Health8/9/20113/31/2013
InactiveBerkshire Life Insurance Company of America300983Agent - Life8/9/20113/31/2013
InactiveC.M. Life Insurance Company301335Agent - Health3/27/200711/16/2012
InactiveC.M. Life Insurance Company301335Agent - Life3/27/200711/16/2012
InactiveCHA HMO, Inc.300662Agent - Health4/8/200212/10/2012
InactiveCMD Health, Inc.702047Agent - Health3/21/20123/31/2013
InactiveColonial Life and Accident Insurance Company300846Agent - Health7/20/20113/31/2013
InactiveColonial Life and Accident Insurance Company300846Agent - Life7/20/20113/31/2013
InactiveCompBenefits Dental, Inc.591692Agent - Health4/25/20083/31/2013
InactiveCompBenefits Insurance Company301864Agent - Health4/25/20083/31/2013
InactiveCompBenefits Insurance Company301864Agent - Life4/25/20083/31/2013
InactiveContinental Casualty Company301019Agent - Health11/19/20018/10/2005
InactiveDental Concern Inc. (The)301641Agent - Health2/26/20073/31/2013
InactiveDentiCare, Inc.300655Agent - Health2/11/200211/1/2005
InactiveFidelity Security Life Insurance Company300466Agent - Health2/1/20083/31/2013
InactiveFidelity Security Life Insurance Company300466Agent - Life2/1/20083/31/2013
InactiveFirst National Insurance Company of America301690Agent - Casualty8/15/20007/11/2002
InactiveFirst National Insurance Company of America301690Agent - General Lines2/9/19998/15/2000
InactiveFirst National Insurance Company of America301690Agent - Property8/15/20007/11/2002
InactiveGeneral Insurance Company of America300261Agent - Casualty8/15/20007/11/2002
InactiveGeneral Insurance Company of America300261Agent - General Lines4/6/20008/15/2000
InactiveGeneral Insurance Company of America300261Agent - Property8/15/20007/11/2002
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life8/9/20113/31/2013
InactiveGuardian Life Insurance Company of America301316Agent - Health8/9/20113/31/2013
InactiveGuardian Life Insurance Company of America301316Agent - Life8/9/20113/31/2013
InactiveHartford Life Group Insurance Company301708Agent - Health4/1/200212/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life4/1/200212/31/2006
InactiveHartford Life and Accident Insurance Company300878Agent - Health4/15/20043/31/2013
InactiveHartford Life and Accident Insurance Company300878Agent - Life4/15/20043/31/2013
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/8/20133/31/2013
InactiveHumana Health Plan, Inc.300142Agent - Health6/9/20053/31/2013
InactiveHumana Insurance Company301104Agent - Health6/9/20053/31/2013
InactiveHumana Insurance Company301104Agent - Life6/9/20053/31/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/9/20053/31/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/9/20053/31/2013
InactiveHumanaDental Insurance Company301457Agent - Health7/12/201212/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life7/12/201212/19/2012
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health1/20/20047/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life1/20/20047/2/2007
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health5/8/20123/31/2013
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life5/8/20123/31/2013
InactiveKanawha Insurance Company300127Agent - Health5/6/20103/31/2013
InactiveKanawha Insurance Company300127Agent - Life5/6/20103/31/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Health6/29/20073/31/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Life6/29/20073/31/2013
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health3/27/200711/16/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life3/27/200711/16/2012
InactiveMeridian Mutual Insurance Company301303Agent - Casualty8/15/20006/1/2001
InactiveMeridian Mutual Insurance Company301303Agent - General Lines6/3/19998/15/2000
InactiveMeridian Mutual Insurance Company301303Agent - Property8/15/20006/1/2001
InactiveMeridian Security Insurance Company300423Agent - Casualty8/15/200012/1/2003
InactiveMeridian Security Insurance Company300423Agent - General Lines6/3/19998/15/2000
InactiveMeridian Security Insurance Company300423Agent - Property8/15/200012/1/2003
InactiveMetLife Investors USA Insurance Company300845Agent - Health11/8/200511/19/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life10/2/20123/31/2013
InactiveMetropolitan Life Insurance Company301948Agent - Health1/25/20023/31/2013
InactiveMetropolitan Life Insurance Company301948Agent - Life1/25/20023/31/2013
InactiveMutual of Omaha Insurance Company301012Agent - Health2/17/200612/26/2012
InactiveNationwide Life Insurance Company300495Agent - Health2/7/20113/31/2013
InactiveNationwide Life Insurance Company300495Agent - Life2/7/20113/31/2013
InactiveProtective Life Insurance Company300638Agent - Health2/11/200212/15/2003
InactiveProtective Life Insurance Company300638Agent - Life1/1/200712/26/2008
InactiveProvident Life and Accident Insurance Company301525Agent - Health12/31/20083/31/2013
InactiveProvident Life and Accident Insurance Company301525Agent - Life12/31/20083/31/2013
InactivePruco Life Insurance Company300954Agent - Life12/8/20113/31/2013
InactivePrudential Insurance Company of America300784Agent - Health2/4/20043/31/2013
InactivePrudential Insurance Company of America300784Agent - Life2/4/20043/31/2013
InactiveReassure America Life Insurance Company301902Agent - Health10/16/20019/3/2004
InactiveReassure America Life Insurance Company301902Agent - Life10/16/20019/3/2004
InactiveSAFECO Insurance Company of America300159Agent - Casualty8/15/20007/11/2002
InactiveSAFECO Insurance Company of America300159Agent - General Lines2/9/19998/15/2000
InactiveSAFECO Insurance Company of America300159Agent - Property8/15/20007/11/2002
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty8/15/20007/11/2002
InactiveSAFECO Insurance Company of Illinois301350Agent - General Lines4/6/20008/15/2000
InactiveSAFECO Insurance Company of Illinois301350Agent - Property8/15/20007/11/2002
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty6/1/200112/1/2003
InactiveState Automobile Mutual Insurance Company301824Agent - Property6/1/200112/1/2003
InactiveSun Life Assurance Company of Canada301811Agent - Life5/30/200611/15/2010
InactiveTransamerica Life Insurance Company300571Agent - Health11/23/20113/31/2013
InactiveTransamerica Life Insurance Company300571Agent - Life11/23/20113/31/2013
InactiveUNUM Life Insurance Company of America300817Agent - Health12/31/20083/31/2013
InactiveUNUM Life Insurance Company of America300817Agent - Life12/31/20083/31/2013
InactiveUnion Security Insurance Company301844Agent - Health5/12/20043/31/2013
InactiveUnion Security Insurance Company301844Agent - Life5/12/20043/31/2013
InactiveUnited World Life Insurance Company300532Agent - Health2/17/200612/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health2/17/200612/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life2/17/200612/26/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health5/28/20093/31/2013
InactiveUnitedHealthcare Insurance Company300946Agent - Life5/28/20093/31/2013
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health5/28/20093/31/2013
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/28/20093/31/2013
InactiveWilcac Life Insurance Company301573Agent - Health11/19/20018/10/2005
Inactive300277Agent - Life12/20/20011/1/2007
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAdams-Ward, Tammy 358704Agent - Health10/15/20044/1/2013
InactiveAdams-Ward, Tammy 358704Agent - Life10/15/20044/1/2013
InactiveBryant, Robert Reed 308800Agent - Health10/16/20012/1/2006
InactiveBryant, Robert Reed 308800Agent - Life10/16/20012/1/2006
InactiveCanter, Deborah Kay 372190Agent - Casualty8/15/20002/26/2003
InactiveCanter, Deborah Kay 372190Agent - General Lines5/7/19998/15/2000
InactiveCanter, Deborah Kay 372190Agent - Property8/15/20002/26/2003
InactiveDavis, Russell Edward 307645Agent - Casualty8/15/20002/26/2003
InactiveDavis, Russell Edward 307645Agent - General Lines1/20/19998/15/2000
InactiveDavis, Russell Edward 307645Agent - Property8/15/20002/26/2003
InactiveHawkins, John Sidney 660129Agent - Health7/14/20113/31/2013
InactiveHawkins, John Sidney 660129Agent - Life7/14/20113/31/2013
InactiveSmith, Jairus D 385057Agent - Health10/16/20017/14/2011
InactiveSmith, Jairus D 385057Agent - Life10/16/20017/14/2011
InactiveViolette, Jeffrey W 356526Agent - General Lines1/20/19995/7/1999

© Commonwealth of Kentucky. All rights reserved.