DEPARTMENT OF INSURANCE

Affiliations

Name	Hardin, Jeremy Thomas	DOIID	551744	NAIC NPN	7316961

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	7/31/2002	12/31/2024
Active	Resident	Agent	Life	8/14/2002	12/31/2024
Active	Resident	Agent	Health	8/14/2002	12/31/2024
Active	Resident	Agent	Property	7/25/2002	12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Agricultural Insurance Company	300215	Agent - Property	9/23/2016
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	5/16/2005	6/23/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	5/16/2005	6/23/2008
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
Inactive	C.M. Life Insurance Company	301335	Agent - Health	8/11/2005	11/12/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	8/11/2005	11/12/2012
Active	Dairyland Insurance Company	301370	Agent - Casualty	9/5/2002
Active	FB Insurance Company (The)	301763	Agent - Casualty	7/31/2002
Active	FB Insurance Company (The)	301763	Agent - Property	7/25/2002
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/16/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/16/2004
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/27/2014	11/2/2016
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/27/2014	11/2/2016
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/27/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/27/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	7/31/2002
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	7/25/2002
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	8/11/2005	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	8/11/2005	11/12/2012
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	8/14/2002
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	8/14/2002
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/3/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/3/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	9/23/2005	1/9/2014
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013
Active	Jeremy T. Hardin Insurance, Inc.	639140	Agent - Casualty	1/2/2019
Active	Jeremy T. Hardin Insurance, Inc.	639140	Agent - Property	8/31/2006
Active	Jeremy T. Hardin Insurance, Inc.	639140	Agent - Health	1/2/2019
Active	Jeremy T. Hardin Insurance, Inc.	639140	Agent - Life	1/2/2019
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	1/2/2019
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	9/26/2002
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	9/26/2002
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	9/26/2002