DEPARTMENT OF INSURANCE

Affiliations

Name	Spencer, Daris Virginia	DOIID	513564	NAIC NPN	7214535

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	4/7/2006	12/31/2025
Active	Resident	Agent	Life	4/7/2006	12/31/2025
Active	Resident	Agent	Health	4/7/2006	12/31/2025
Active	Resident	Agent	Casualty	4/7/2006	12/31/2025
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/21/2016	4/13/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/21/2016	4/13/2023
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/7/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/7/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/28/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/28/2015	11/14/2021
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	3/5/2017	3/2/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	3/5/2017	3/2/2020
Active	Brighthouse Life Insurance Company	301829	Agent - Health	9/18/2014
Active	Brighthouse Life Insurance Company	301829	Agent - Life	9/18/2014
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008
Active	Bristol West Insurance Company	301655	Agent - Property	2/11/2008
Active	Dairyland Insurance Company	301370	Agent - Casualty	9/6/2007
Active	Dairyland Insurance Company	301370	Agent - Property	9/6/2007
Active	FB Insurance Company (The)	301763	Agent - Casualty	8/23/2007
Active	FB Insurance Company (The)	301763	Agent - Health	8/23/2007
Active	FB Insurance Company (The)	301763	Agent - Property	8/23/2007
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/7/2007
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/7/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/14/2006	12/15/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/14/2006	12/15/2010
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/8/2012	2/29/2016
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/8/2012	2/29/2016
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	7/31/2008	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	7/31/2008	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/30/2009	4/18/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/30/2009	12/31/2010
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/23/2007
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	8/23/2007
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/23/2007
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	9/18/2014	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	9/18/2014	11/14/2014
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	8/23/2007
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	8/23/2007
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	5/31/2001	12/31/2005
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	5/4/2006	12/18/2007
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	5/31/2001	12/31/2005
Inactive	State Farm General Insurance Company	301122	Agent - Property	5/4/2006	10/9/2007
Inactive	State Farm Life Insurance Company	301810	Agent - Life	5/4/2006	10/9/2007
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	5/17/2006	10/9/2007
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	5/4/2006	10/9/2007
Inactive	Time Insurance Company	300683	Agent - Health	5/4/2006	10/9/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/30/2019	8/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/30/2019	8/1/2020
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/5/2011	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/5/2011	6/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	7/30/2009
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	9/4/2007
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	9/4/2007
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	9/4/2007
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	9/4/2007
Active	Planchoice Inc.	400482	Agent - Health	4/17/2014
Active	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/20/2016
Active	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/20/2016