DEPARTMENT OF INSURANCE

Affiliations

Name	PICA Group Services of Kentucky, Inc.	DOIID	514106	NAIC NPN	7223186

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	7/20/2004	3/31/2010
Inactive	Resident	Agent	Property	7/20/2004	3/31/2010
Inactive	Resident	Agent	Health	7/20/2004	3/31/2010
Inactive	Resident	Agent	Life	7/20/2004	3/31/2010
* 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 Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/18/2002	5/31/2004
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/18/2002	5/31/2004
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	10/18/2002	5/31/2004
Inactive	American Zurich Insurance Company	300592	Agent - Property	10/18/2002	5/31/2004
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/12/2004	12/1/2008
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/12/2004	12/1/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/12/2004	5/25/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/12/2004	5/25/2005
Inactive	Assurance Company of America	300432	Agent - Casualty	10/18/2002	5/31/2004
Inactive	Assurance Company of America	300432	Agent - Property	10/18/2002	5/31/2004
Inactive	CAMICO Mutual Insurance Company	517952	Agent - Casualty	2/7/2005	11/21/2008
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/30/2002	5/31/2004
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/30/2002	5/31/2004
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	10/18/2002	5/31/2004
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/18/2002	5/31/2004
Inactive	Gulf Insurance Company	300761	Agent - Casualty	11/27/2002	5/31/2004
Inactive	Gulf Insurance Company	300761	Agent - Property	11/27/2002	5/31/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/21/2002	9/15/2003
Inactive	Humana Insurance Company	301104	Agent - Health	10/24/2002	9/15/2003
Inactive	Humana Insurance Company	301104	Agent - Life	10/24/2002	9/15/2003
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/18/2002	5/31/2004
Inactive	Maryland Casualty Company	301719	Agent - Property	10/18/2002	5/31/2004
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/18/2002	5/31/2004
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/18/2002	5/31/2004
Inactive	PACO Assurance Company, Inc.	547622	Agent - Casualty	5/6/2005	3/31/2010
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	10/18/2002	5/31/2004
Inactive	Zurich American Insurance Company	301121	Agent - Property	10/18/2002	5/31/2004
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/18/2002	5/31/2004
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/18/2002	5/31/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown, Amberry L	361072	Agent - Casualty	7/20/2004	3/31/2010
Inactive	Brown, Amberry L	361072	Agent - Health	7/20/2004	3/31/2010
Inactive	Brown, Amberry L	361072	Agent - Life	7/20/2004	3/31/2010
Inactive	Brown, Amberry L	361072	Agent - Property	7/20/2004	3/31/2010