DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stephen Mayes Insurance, Inc.	DOIID	525736	NAIC NPN	7223320

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/25/2001		3/31/2027
Active	Resident	Agent	Life	4/25/2001		3/31/2027
Active	Resident	Agent	Property	4/25/2001		3/31/2027
Active	Resident	Agent	Casualty	4/25/2001		3/31/2027
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/1/2005
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/1/2005	10/16/2012
Active	FB Insurance Company (The)	301763	Agent - Casualty	4/25/2001
Active	FB Insurance Company (The)	301763	Agent - Property	4/25/2001
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	4/25/2001
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	4/25/2001
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	4/25/2001
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/25/2001

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brawner, Stephanie Jo	513346	Agent - Casualty	1/5/2004	9/9/2005
Inactive	Brawner, Stephanie Jo	513346	Agent - Property	1/5/2004	9/9/2005
Inactive	Davidson, Samantha Danielle	597478	Agent - Casualty	1/29/2007	5/26/2020
Inactive	Davidson, Samantha Danielle	597478	Agent - Property	1/29/2007	5/26/2020
Active	Mayes, Stephen W	361318	Agent - Casualty	8/15/2000
Active	Mayes, Stephen W	361318	Agent - Health	4/25/2001
Active	Mayes, Stephen W	361318	Agent - Life	4/25/2001
Active	Mayes, Stephen W	361318	Agent - Property	8/15/2000
Inactive	Pearson, Charity Nichole	638394	Agent - Casualty	1/29/2007	5/24/2007
Inactive	Ross, Penny	311490	Agent - Casualty	1/5/2004	10/7/2004
Inactive	Ross, Penny	311490	Agent - Property	1/5/2004	10/7/2004