DEPARTMENT OF INSURANCE

Affiliations

Name	Doom, Sherri Hines	DOIID	541596	NAIC NPN	7220279

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	12/3/2001	8/31/2026
Active	Resident	Agent	Property	6/11/2002	8/31/2026
Active	Resident	Agent	Casualty	3/17/2003	8/31/2026
Active	Resident	Agent	Health	12/3/2001	8/31/2026
* 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	06/15/2024	08/31/2024	06/25/2024	06/25/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/24/2004	6/23/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/24/2004	6/23/2008
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	5/21/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/21/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/21/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/21/2015	11/14/2021
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/1/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008
Active	Bristol West Insurance Company	301655	Agent - Property	2/11/2008
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/1/2022
Active	Dairyland Insurance Company	301370	Agent - Casualty	3/27/2003
Active	FB Insurance Company (The)	301763	Agent - Casualty	3/17/2003
Active	FB Insurance Company (The)	301763	Agent - Health	2/11/2003
Active	FB Insurance Company (The)	301763	Agent - Property	2/11/2003
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/8/2003
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/8/2003
Denied	Independent Mutual Fire Insurance Company	300851	Agent - Casualty
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	6/11/2002	1/31/2003
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/1/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/1/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	11/3/2015	3/19/2017
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/3/2015	3/19/2017
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	3/17/2003
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	2/11/2003
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	2/11/2003
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	2/11/2003
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	2/11/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/3/2001	1/31/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/3/2001	1/31/2003
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	4/21/2003
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	4/21/2003
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	4/21/2003
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	4/21/2003