PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameKywide Insurance Management Inc.DOIID400853NAIC NPN7222712
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife7/29/19992/27/2004 
InactiveResidentAgentCasualty3/23/20011/16/2002 
InactiveResidentAgentProperty3/23/20011/16/2002 
InactiveResidentAgentHealth7/29/19992/27/2004 
InactiveResidentManaging General AgentNot Applicable3/26/20013/31/2002 
* 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
InactiveAll American Life Insurance Company300702Agent - Health7/29/19994/19/2001
InactiveAll American Life Insurance Company300702Agent - Life7/29/19994/19/2001
InactiveAmerican General Life Insurance Company301585Agent - Health9/3/20022/27/2004
InactiveAmerican General Life Insurance Company301585Agent - Life12/19/20012/27/2004
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life1/14/20022/27/2004
InactiveBaptist Health Plan, Inc.300157Agent - Health5/17/20022/27/2004
InactiveChase Insurance Life and Annuity Company300518Agent - Life4/2/20012/27/2004
InactiveContinental Casualty Company301019Agent - Health5/1/20002/27/2004
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life7/1/20022/27/2004
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life4/2/20012/27/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health5/3/20022/27/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life5/3/20022/27/2004
InactiveInter-State Assurance Company301556Agent - Life10/16/20002/15/2002
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health3/26/20013/26/2001
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life3/26/20012/27/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health4/25/20022/27/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life4/25/20022/27/2004
InactiveKentucky National Insurance Company301625Agent - Casualty3/23/20011/16/2002
InactiveKentucky National Insurance Company301625Agent - Property3/23/20011/16/2002
InactiveMedical Life Insurance Company300693Agent - Health4/2/20022/27/2004
InactiveMedical Life Insurance Company300693Agent - Life4/2/20022/27/2004
InactiveNorth American Company for Life and Health Insurance300291Agent - Life5/20/20022/27/2004
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health9/24/20013/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life9/24/20013/31/2003
InactiveOld Republic Life Insurance Company301214Agent - Health1/2/20022/27/2004
InactiveOld Republic Life Insurance Company301214Agent - Life1/2/20022/27/2004
InactivePrincipal Life Insurance Company300129Agent - Health7/16/20012/27/2004
InactivePrincipal Life Insurance Company300129Agent - Life7/16/20012/27/2004
InactiveProtective Life Insurance Company300638Agent - Health5/12/20002/27/2004
InactiveProtective Life Insurance Company300638Agent - Life5/12/20002/27/2004
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health2/14/20002/27/2004
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life2/14/20002/27/2004
InactiveTime Insurance Company300683Agent - Health2/26/20012/20/2003
InactiveTime Insurance Company300683Agent - Life2/26/20012/20/2003
InactiveTrustmark Insurance Company300317Agent - Health 5/19/2003
InactiveTrustmark Insurance Company300317Agent - Life 5/19/2003
InactiveWest Coast Life Insurance Company301607Agent - Life10/24/20022/3/2003
InactiveWestern National Life Insurance Company300461Agent - Life9/10/20012/27/2004
InactiveWilco Life Insurance Company300122Agent - Life8/27/19996/22/2001
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBooth, Thomas J 518980Agent - Casualty4/26/20024/26/2002
InactiveBooth, Thomas J 518980Agent - Health8/15/20012/13/2003
InactiveBooth, Thomas J 518980Agent - Life8/15/20012/13/2003
InactiveBooth, Thomas J 518980Agent - Property3/23/20011/16/2002
InactiveBooth, Thomas J 518980Managing General Agent - Not Applicable3/26/20018/31/2005
InactiveKane, Adam David 365497Agent - Health7/29/199912/1/2000
InactiveKane, Adam David 365497Agent - Life7/29/199912/1/2000
InactiveOwen, David Abraham 357466Agent - Health2/1/20018/15/2001
InactiveOwen, David Abraham 357466Agent - Life2/1/20018/15/2001

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