PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameKentucky Public Entity Programs IncDOIID400082NAIC NPN7222150
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty7/10/2013 3/31/2027
ActiveResidentAgentCasualty7/10/2013 3/31/2027
ActiveResidentAgentHealth3/20/2014 3/31/2027
ActiveResidentAgentLife3/20/2014 3/31/2027
InactiveResidentAgentHealth Maintenance Organization7/7/19983/1/2001 
InactiveResidentAgentGeneral Lines5/18/19878/15/2000 
InactiveResidentAgentPrepaid Dental Plan11/15/19993/1/2001 
* 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
InactiveACE American Insurance Company300625Agent - General Lines5/18/19873/31/1998
InactiveACE Fire Underwriters Insurance Company301679Agent - General Lines5/18/19873/31/1998
InactiveACE Property and Casualty Insurance Company300520Agent - General Lines5/18/19873/31/1998
InactiveAetna Life Insurance Company301140Agent - Health2/18/19977/1/2002
InactiveAetna Life Insurance Company301140Agent - Life2/18/19976/10/2004
InactiveAmerican Alternative Insurance Corporation301697Agent - Casualty2/27/20145/19/2021
InactiveAmerican Alternative Insurance Corporation301697Agent - General Lines6/6/19968/15/2000
InactiveAmerican Alternative Insurance Corporation301697Agent - Property2/27/20145/19/2021
InactiveAmerican General Life Insurance Company301585Agent - Health4/23/20141/18/2018
InactiveAmerican General Life Insurance Company301585Agent - Life4/23/20141/18/2018
DeniedAmerican General Life Insurance Company of Delaware301057Agent - Health  
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life8/5/200312/31/2012
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/21/20017/1/2002
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/21/20017/1/2002
InactiveAnthem Life Insurance Company301209Agent - Health4/17/19967/1/2002
InactiveAnthem Life Insurance Company301209Agent - Life4/17/19963/31/2013
InactiveAssurity Life Insurance Company301099Agent - Health5/29/20017/1/2002
InactiveAssurity Life Insurance Company301099Agent - Life5/29/200112/18/2002
InactiveBankers Standard Insurance Company301620Agent - General Lines5/18/19873/31/1998
InactiveCentury Indemnity Company301310Agent - General Lines5/18/19873/31/1998
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty11/24/20103/31/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property11/24/20103/31/2013
ActiveCombined Insurance Company of America301472Agent - Health3/25/2014 
ActiveCombined Insurance Company of America301472Agent - Life3/25/2014 
InactiveCompDent Corporation301387Agent - Health3/1/20017/1/2002
InactiveCompDent Corporation301387Agent - Prepaid Dental Plan11/15/19993/1/2001
InactiveDental Concern Inc. (The)301641Agent - Health3/26/200711/27/2010
InactiveEMC National Life Company300388Agent - Health8/20/20072/6/2013
InactiveEMC National Life Company300388Agent - Life6/10/20022/6/2013
InactiveEmployers Mutual Casualty Company300202Agent - Casualty4/3/20068/28/2008
InactiveEmployers Mutual Casualty Company300202Agent - Property4/3/20068/28/2008
InactiveFarmington Casualty Company301137Agent - Casualty11/24/20103/31/2013
InactiveFarmington Casualty Company301137Agent - Property11/24/20103/31/2013
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Health9/18/19963/31/1997
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life9/18/19963/31/1997
InactiveFidelity Security Life Insurance Company300466Agent - Health12/4/19997/1/2002
InactiveFidelity Security Life Insurance Company300466Agent - Life12/4/19993/13/2003
InactiveFidelity and Guaranty Insurance Company301009Agent - Casualty8/15/20007/1/2002
InactiveFidelity and Guaranty Insurance Company301009Agent - General Lines12/30/19988/15/2000
InactiveFidelity and Guaranty Insurance Company301009Agent - Property8/15/20007/1/2002
InactiveFidelity and Guaranty Insurance Underwriters Inc.300559Agent - Casualty8/15/20007/1/2002
InactiveFidelity and Guaranty Insurance Underwriters Inc.300559Agent - General Lines12/30/19988/15/2000
InactiveFidelity and Guaranty Insurance Underwriters Inc.300559Agent - Property8/15/20007/1/2002
InactiveFirst Colony Life Insurance Company301179Agent - Life5/8/19988/13/2001
InactiveFirst National Insurance Company of America301690Agent - General Lines1/23/19923/31/1996
InactiveGeneral Insurance Company of America300261Agent - General Lines1/23/19923/31/1996
InactiveHamilton Mutual Insurance Company301111Agent - Casualty4/3/20068/28/2008
InactiveHamilton Mutual Insurance Company301111Agent - Property4/3/20068/28/2008
InactiveHartford Life and Accident Insurance Company300878Agent - Health5/8/20007/1/2002
InactiveHartford Life and Accident Insurance Company300878Agent - Life5/8/20006/4/2010
InactiveHumana Health Plan, Inc.300142Agent - Health3/26/200711/27/2010
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization7/7/19983/1/2001
InactiveHumana Insurance Company301104Agent - Health3/26/200711/27/2010
InactiveHumana Insurance Company301104Agent - Life7/7/199811/27/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/26/200711/27/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/26/200711/27/2010
InactiveHumanaDental Insurance Company301457Agent - Health3/26/200711/27/2010
InactiveHumanaDental Insurance Company301457Agent - Life3/26/200711/27/2010
InactiveIndemnity Insurance Company of North America301760Agent - General Lines5/18/19873/31/1998
InactiveInsurance Company of North America300226Agent - General Lines5/18/19873/31/1998
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health8/8/20017/1/2002
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life8/8/20017/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health12/4/19997/1/2002
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life12/4/19994/2/2007
InactiveKanawha Insurance Company300127Agent - Health4/11/200811/27/2010
InactiveKanawha Insurance Company300127Agent - Life4/11/200811/27/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/22/20073/31/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/22/20073/31/2013
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty7/11/2016 
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - General Lines5/27/19878/15/2000
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health7/20/2016 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property7/11/2016 
InactiveNational Western Life Insurance Company301515Agent - Health5/8/19987/1/2002
InactiveNational Western Life Insurance Company301515Agent - Life5/8/19987/21/2005
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health10/2/19987/1/2002
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life10/2/199810/4/2002
InactivePacifiCare Life Assurance Company301082Agent - Health6/17/19987/31/2001
InactivePacifiCare Life Assurance Company301082Agent - Life6/17/19987/31/2001
InactivePacific Employers Insurance Company301753Agent - General Lines5/18/19873/31/1998
InactiveSAFECO Insurance Company of America300159Agent - General Lines1/23/19923/31/1996
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty8/15/20007/1/2002
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - General Lines12/30/19988/15/2000
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property8/15/20007/1/2002
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty8/15/20007/1/2002
InactiveSt. Paul Guardian Insurance Company301372Agent - General Lines12/30/19988/15/2000
InactiveSt. Paul Guardian Insurance Company301372Agent - Property8/15/20007/1/2002
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty8/15/20007/1/2002
InactiveSt. Paul Mercury Insurance Company300783Agent - General Lines12/30/19988/15/2000
InactiveSt. Paul Mercury Insurance Company300783Agent - Property8/15/20007/1/2002
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty11/24/20103/31/2013
InactiveStandard Fire Insurance Company (The)301068Agent - Property11/24/20103/31/2013
DeniedStandard Insurance Company300185Agent - Health  
InactiveStandard Insurance Company300185Agent - Life9/9/20023/31/2013
InactiveTalcott Resolution Life Insurance Company301759Agent - Health5/8/20007/1/2002
InactiveTalcott Resolution Life Insurance Company301759Agent - Life5/8/20006/4/2010
InactiveThe Phoenix Insurance Company301502Agent - Casualty11/24/20103/31/2013
InactiveThe Phoenix Insurance Company301502Agent - Property11/24/20103/31/2013
InactiveTitan Indemnity Company300556Agent - Casualty8/15/20003/31/2002
InactiveTitan Indemnity Company300556Agent - General Lines12/30/19988/15/2000
InactiveTitan Indemnity Company300556Agent - Property8/15/20003/31/2002
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty11/24/20103/31/2013
InactiveTravelers Casualty Insurance Company of America300522Agent - Property11/24/20103/31/2013
InactiveTravelers Casualty and Surety Company301067Agent - Casualty11/24/20103/31/2013
InactiveTravelers Casualty and Surety Company301067Agent - Property11/24/20103/31/2013
InactiveTravelers Indemnity Company (The)301855Agent - Casualty11/24/20103/31/2013
InactiveTravelers Indemnity Company (The)301855Agent - Property11/24/20103/31/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty11/24/20103/31/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Property11/24/20103/31/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty11/24/20103/31/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property11/24/20103/31/2013
InactiveTravelers Property Casualty Company of America301649Agent - Casualty11/24/20103/31/2013
InactiveTravelers Property Casualty Company of America301649Agent - Property11/24/20103/31/2013
InactiveUSG Annuity & Life Company300457Agent - Health5/8/19967/1/2002
InactiveUSG Annuity & Life Company300457Agent - Life5/8/19968/7/2003
InactiveUnited States Fidelity and Guaranty Company301449Agent - Casualty8/15/20007/1/2002
InactiveUnited States Fidelity and Guaranty Company301449Agent - General Lines12/30/19988/15/2000
InactiveUnited States Fidelity and Guaranty Company301449Agent - Property8/15/20007/1/2002
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health6/8/19986/6/2001
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life6/8/19986/6/2001
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health4/5/199612/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life4/5/199612/31/2001
InactiveGlatfelter, Arthur J 373655Agent - Life8/8/19942/17/2003
ActiveSiereveld, Clayton T 647888Agent - Casualty2/27/2014 
ActiveSiereveld, Clayton T 647888Agent - Health3/20/2014 
ActiveSiereveld, Clayton T 647888Agent - Life3/20/2014 
ActiveSiereveld, Clayton T 647888Agent - Property2/27/2014 
InactiveSiereveld, Steven Arthur 348028Agent - Casualty7/10/201311/30/2013
InactiveSiereveld, Steven Arthur 348028Agent - General Lines5/18/19878/15/2000
InactiveSiereveld, Steven Arthur 348028Agent - Health7/10/201311/30/2013
InactiveSiereveld, Steven Arthur 348028Agent - Life7/10/201311/30/2013
InactiveSiereveld, Steven Arthur 348028Agent - Property7/10/201311/30/2013

© Commonwealth of Kentucky. All rights reserved.