DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Koontz, Meredith Sanford	DOIID	541372	NAIC NPN	6058480

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	5/13/2003	3/31/2010
Inactive	Resident	Agent	Property	12/8/2005	4/1/2010
Inactive	Resident	Agent	Casualty	12/8/2005	4/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	2/8/2002	8/7/2002
Inactive	Resident	Independent Adjuster	Property & Casualty	9/30/2010	4/1/2022
* 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	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/8/2005	11/11/2008
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/8/2005	11/11/2008
Inactive	LM Insurance Corporation	301061	Agent - Casualty	12/8/2005	11/11/2008
Inactive	LM Insurance Corporation	301061	Agent - Property	12/8/2005	11/11/2008
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	12/8/2005	11/11/2008
Inactive	Liberty Insurance Corporation	300444	Agent - Property	12/8/2005	11/11/2008
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/8/2005	11/11/2008
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/8/2005	11/11/2008
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/8/2005	11/11/2008
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	12/8/2005	11/11/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bluegrass Insurance Management, LLC	711568	Adjuster - Independent	10/8/2009	3/31/2010
Inactive	Bluegrass Insurance Management, LLC	711568	Independent Adjuster - Property & Casualty	1/14/2011	7/5/2017
Inactive	Kentucky National Insurance Company	301625	Adjuster - Independent	5/13/2003	10/28/2004

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allen, Tara Lynn	316351	Apprentice Adjuster - Not Applicable	2/8/2002	8/7/2002