DEPARTMENT OF INSURANCE

Affiliations

Name	Osborne, John	DOIID	521626	NAIC NPN	7216443

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	12/28/2009		9/30/2024
Active	Resident	Agent	Life	12/28/2009		9/30/2024
Active	Resident	Agent	Casualty	12/28/2009		9/30/2024
Active	Resident	Agent	Health	12/28/2009		9/30/2024
Inactive	Resident	Agent	Limited Line Credit	5/30/2001	9/30/2006
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
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	9/19/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/19/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/15/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/15/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	2/9/2017	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	2/9/2017	11/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/21/2011
Active	Bristol West Insurance Company	301655	Agent - Property	3/21/2011
Active	Dairyland Insurance Company	301370	Agent - Casualty	3/10/2011
Active	Dairyland Insurance Company	301370	Agent - Property	3/10/2011
Active	FB Insurance Company (The)	301763	Agent - Casualty	2/4/2011
Active	FB Insurance Company (The)	301763	Agent - Health	2/4/2011
Active	FB Insurance Company (The)	301763	Agent - Property	2/4/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/21/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/21/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Health	6/17/2021	8/18/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Life	6/17/2021	8/18/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	2/4/2011
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	2/4/2011
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	2/4/2011
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	5/30/2001	9/30/2006
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	2/4/2011
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	2/4/2011
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	12/28/2009	3/1/2011
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	12/28/2009	3/1/2011
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	12/28/2009	11/17/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	12/28/2009	11/17/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	12/28/2009	3/1/2011
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	12/28/2009	3/1/2011
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	12/28/2009	3/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Active	John S. Osborne Insurance Services, LLC	887174	Agent - Casualty	8/17/2015
Active	John S. Osborne Insurance Services, LLC	887174	Agent - Property	8/17/2015
Active	John S. Osborne Insurance Services, LLC	887174	Agent - Life	8/17/2015
Active	John S. Osborne Insurance Services, LLC	887174	Agent - Health	8/17/2015
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	2/25/2011
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	2/25/2011
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	2/25/2011
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	2/25/2011
Inactive	Republic Bank & Trust Company	398358	Agent - Limited Line Credit	2/27/2004	9/30/2006