DEPARTMENT OF INSURANCE

Affiliations

Name	Mudd, Natalie Fay	DOIID	539325	NAIC NPN	7219848

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	1/20/2004		1/31/2026
Active	Resident	Agent	Variable Life and Variable Annuities	1/20/2004		1/31/2026
Active	Resident	Agent	Property	7/21/2006		1/31/2026
Active	Resident	Agent	Casualty	7/21/2006		1/31/2026
Active	Resident	Agent	Health	1/20/2004		1/31/2026
Inactive	Resident	Apprentice Adjuster	Not Applicable	10/15/2001	4/13/2002
Inactive	Resident	Independent Adjuster	Property & Casualty	1/30/2002	11/9/2010
Inactive	Resident	Staff Adjuster	Property & Casualty	11/9/2010	1/31/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

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	10/16/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/16/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/8/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/8/2015	11/14/2021
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	7/11/2017	3/2/2020
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	7/11/2017	3/2/2020
Active	Bristol West Insurance Company	301655	Agent - Casualty	7/3/2013
Active	Bristol West Insurance Company	301655	Agent - Property	7/3/2013
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	4/14/2004	6/6/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Variable Life and Variable Annuities	4/14/2004	6/6/2006
Active	Dairyland Insurance Company	301370	Agent - Casualty	7/9/2013
Active	Dairyland Insurance Company	301370	Agent - Property	7/9/2013
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	11/10/2004	7/19/2006
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	11/10/2004	7/19/2006
Inactive	Everlake Life Insurance Company	300873	Agent - Life	1/22/2004	12/3/2008
Inactive	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	1/22/2004	12/3/2008
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/22/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/22/2024
Inactive	Genworth Life Insurance Company	300623	Agent - Health	11/23/2004	8/10/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/23/2004	8/10/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	11/24/2004	4/13/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	11/24/2004	4/13/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Variable Life and Variable Annuities	11/24/2004	4/13/2007
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	1/22/2004	1/1/2005
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Variable Life and Variable Annuities	1/22/2004	1/1/2005
Inactive	Independence American Insurance Company	524747	Agent - Health	5/21/2019	12/18/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	5/24/2016	3/19/2017
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	5/24/2016	3/19/2017
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	7/1/2013
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	7/1/2013
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	7/1/2013
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	1/28/2004	3/9/2007
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/7/2017	6/22/2018
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/28/2004	7/24/2006
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	1/28/2004	7/24/2006
Inactive	Pacific Life Insurance Company	301848	Agent - Life	1/22/2004	1/5/2006
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	1/22/2004	1/5/2006
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	7/1/2013
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	7/1/2013
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	12/23/2008	9/3/2010
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	7/21/2006	9/3/2010
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	12/23/2008	9/3/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	7/21/2006	9/3/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	1/9/2006	9/3/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Variable Life and Variable Annuities	1/9/2006	9/3/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	7/21/2006	9/3/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	1/9/2006	9/3/2010
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	2/19/2004	10/3/2007
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	2/19/2004	10/3/2007
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	2/19/2004	10/3/2007
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	2/19/2004	10/3/2007
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	2/19/2004	10/3/2007
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	2/19/2004	10/3/2007
Inactive	Time Insurance Company	300683	Agent - Health	9/1/2009	9/17/2010
Inactive	Time Insurance Company	300683	Agent - Life	9/1/2009	9/17/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/28/2004	3/9/2007
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	1/28/2004	3/9/2007
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	2/1/2005	11/5/2008
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	2/1/2005	11/5/2008
Inactive	Western National Life Insurance Company	300461	Agent - Life	1/21/2004	7/10/2006
Inactive	Western National Life Insurance Company	300461	Agent - Variable Life and Variable Annuities	1/21/2004	7/10/2006

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 - Health	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	7/1/2013
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	7/1/2013
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	7/1/2013
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	7/1/2013
Active	Natalie Mudd Insurance LLC	814929	Agent - Health	7/18/2013
Active	Natalie Mudd Insurance LLC	814929	Agent - Life	7/18/2013
Denied	Natalie Mudd Insurance LLC	814929	Agent - Variable Life and Variable Annuities
Active	Natalie Mudd Insurance LLC	814929	Agent - Casualty	7/18/2013
Active	Natalie Mudd Insurance LLC	814929	Agent - Property	7/18/2013
Inactive	State Farm Fire and Casualty Company	301809	Independent Adjuster - Property & Casualty	1/30/2002	11/9/2010