DEPARTMENT OF INSURANCE
Affiliations
NamePuckett, Jeremy MichaelDOIID560964NAIC NPN7519738
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedNon ResidentAgentProperty   
InactiveNon ResidentAgentCasualty 1/25/2012 
InactiveNon ResidentAgentLife9/18/20197/31/2021 
InactiveResidentAgentHealth12/5/20028/1/2015 
InactiveNon ResidentAgentVariable Life and Variable Annuities8/27/20081/25/2012 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Heritage Life Insurance Company300272Agent - Health8/19/20084/15/2009
InactiveAmerican Heritage Life Insurance Company300272Agent - Life8/19/20084/15/2009
InactiveAmerican Investors Life Insurance Company, Inc.301358Agent - Life7/6/20056/18/2007
InactiveAnthem Life Insurance Company301209Agent - Health3/1/20051/21/2009
InactiveAnthem Life Insurance Company301209Agent - Life3/1/20051/21/2009
InactiveAthene Annuity and Life Company301893Agent - Life12/13/20108/1/2015
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty6/23/20091/25/2012
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property6/23/20091/25/2012
InactiveBanner Life Insurance Company301696Agent - Life2/7/20128/21/2014
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/15/200712/13/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/15/200712/13/2011
InactiveBristol West Insurance Company301655Agent - Casualty2/1/20082/26/2009
InactiveBristol West Insurance Company301655Agent - Property2/1/20082/26/2009
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty6/23/20091/25/2012
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property6/23/20091/25/2012
InactiveDairyland Insurance Company301370Agent - Casualty8/7/20097/20/2010
InactiveDairyland Insurance Company301370Agent - Property8/7/20097/20/2010
InactiveDental Concern Inc. (The)301641Agent - Health5/6/20098/31/2011
InactiveFB Insurance Company (The)301763Agent - Casualty10/25/200712/29/2008
InactiveFB Insurance Company (The)301763Agent - Health10/25/200712/29/2008
InactiveFB Insurance Company (The)301763Agent - Property10/25/200712/29/2008
InactiveFarmington Casualty Company301137Agent - Casualty6/23/20091/25/2012
InactiveFarmington Casualty Company301137Agent - Property6/23/20091/25/2012
DeniedFirst Penn-Pacific Life Insurance Company301581Agent - Health  
DeniedFirst Penn-Pacific Life Insurance Company301581Agent - Life  
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty11/7/20072/24/2009
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property11/7/20072/24/2009
InactiveGenworth Life Insurance Company300623Agent - Health4/1/200912/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life4/1/200912/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health10/16/200712/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life10/16/200712/7/2012
InactiveGolden Rule Insurance Company301943Agent - Health11/15/200511/10/2008
InactiveGolden Rule Insurance Company301943Agent - Life11/15/200511/10/2008
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life6/15/20078/1/2015
InactiveGuardian Life Insurance Company of America301316Agent - Health6/15/20078/1/2015
InactiveGuardian Life Insurance Company of America301316Agent - Life6/15/20078/1/2015
InactiveHumana Health Plan, Inc.300142Agent - Health5/6/20098/31/2011
InactiveHumana Insurance Company301104Agent - Health5/6/20098/31/2011
InactiveHumana Insurance Company301104Agent - Life5/6/20098/31/2011
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/6/20098/31/2011
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/6/20098/31/2011
InactiveIndependent Mutual Fire Insurance Company300851Agent - Casualty4/9/20075/30/2007
InactiveIndependent Mutual Fire Insurance Company300851Agent - Property3/11/20035/30/2007
DeniedJefferson Pilot Financial Insurance Company300756Agent - Health  
DeniedJefferson Pilot Financial Insurance Company300756Agent - Life  
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health7/3/20034/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life7/3/20034/2/2007
InactiveJohn Hancock Life Insurance Company300821Agent - Health1/2/200812/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life1/2/200812/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20084/23/2014
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/18/20197/31/2021
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities3/9/20091/25/2012
InactiveKanawha Insurance Company300127Agent - Health5/6/20098/31/2011
InactiveKanawha Insurance Company300127Agent - Life5/6/20098/31/2011
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Casualty10/25/200712/19/2008
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Health10/25/200712/19/2008
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Property10/25/200712/19/2008
InactiveLincoln Heritage Life Insurance Company500016Agent - Health6/8/20092/22/2010
InactiveLincoln Heritage Life Insurance Company500016Agent - Life6/8/20092/22/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Health5/12/20126/18/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Life5/12/20126/18/2013
InactiveMutual of Omaha Insurance Company301012Agent - Health10/5/201112/26/2012
InactiveOmaha Insurance Company751908Agent - Health3/30/20126/24/2013
InactiveProgressive Casualty Insurance Company300696Agent - Casualty7/1/20091/25/2012
InactiveProgressive Casualty Insurance Company300696Agent - Property7/1/20091/25/2012
InactiveProgressive Northern Insurance Company301378Agent - Casualty7/1/20091/25/2012
InactiveProgressive Northern Insurance Company301378Agent - Property7/1/20091/25/2012
InactiveProtective Life Insurance Company300638Agent - Life10/20/20207/31/2021
InactivePruco Life Insurance Company300954Agent - Health5/20/200912/23/2014
InactivePruco Life Insurance Company300954Agent - Life5/20/200912/23/2014
InactiveReliaStar Life Insurance Company301712Agent - Health8/23/200710/6/2012
InactiveReliaStar Life Insurance Company301712Agent - Life8/23/200710/6/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Health8/23/200712/31/2009
InactiveSecurity Life of Denver Insurance Company300648Agent - Life8/23/200712/31/2009
InactiveSecurity Mutual Life Insurance Company of NY300708Agent - Life6/26/20094/14/2010
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Health10/25/200712/29/2008
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Life10/25/200712/29/2008
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Variable Life and Variable Annuities8/27/200812/29/2008
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty6/23/20091/25/2012
InactiveStandard Fire Insurance Company (The)301068Agent - Property6/23/20091/25/2012
InactiveThe Phoenix Insurance Company301502Agent - Casualty6/23/20091/25/2012
InactiveThe Phoenix Insurance Company301502Agent - Property6/23/20091/25/2012
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life10/27/200912/26/2009
InactiveTransamerica Life Insurance Company300571Agent - Health7/17/20098/1/2015
InactiveTransamerica Life Insurance Company300571Agent - Life7/17/20098/1/2015
InactiveTransamerica Premier Life Insurance Company300558Agent - Health1/10/20118/1/2015
InactiveTransamerica Premier Life Insurance Company300558Agent - Life1/10/20118/1/2015
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty6/23/20091/25/2012
InactiveTravelers Casualty Insurance Company of America300522Agent - Property6/23/20091/25/2012
InactiveTravelers Casualty and Surety Company301067Agent - Casualty6/23/20091/25/2012
InactiveTravelers Casualty and Surety Company301067Agent - Property6/23/20091/25/2012
InactiveTravelers Commercial Insurance Company301506Agent - Casualty6/23/20091/25/2012
InactiveTravelers Commercial Insurance Company301506Agent - Property6/23/20091/25/2012
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty6/23/20091/25/2012
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property6/23/20091/25/2012
InactiveTravelers Indemnity Company (The)301855Agent - Casualty6/23/20091/25/2012
InactiveTravelers Indemnity Company (The)301855Agent - Property6/23/20091/25/2012
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty6/23/20091/25/2012
InactiveTravelers Indemnity Company of America (The)301093Agent - Property6/23/20091/25/2012
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty6/23/20091/25/2012
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property6/23/20091/25/2012
InactiveTravelers Property Casualty Company of America301649Agent - Casualty6/23/20091/25/2012
InactiveTravelers Property Casualty Company of America301649Agent - Property6/23/20091/25/2012
InactiveUnited American Insurance Company300910Agent - Health8/1/20071/3/2008
InactiveUnited American Insurance Company300910Agent - Life8/1/20071/3/2008
InactiveUnited Financial Casualty Company301886Agent - Casualty7/1/20091/25/2012
InactiveUnited Financial Casualty Company301886Agent - Property7/1/20091/25/2012
InactiveUnited World Life Insurance Company300532Agent - Health4/7/200611/1/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/5/201112/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/5/201112/26/2012
InactiveVenerable Insurance and Annuity Company301006Agent - Life7/31/200910/19/2012
InactiveVictoria Fire & Casualty Company300313Agent - Casualty5/4/20111/25/2012
InactiveVictoria Fire & Casualty Company300313Agent - Property5/4/20111/25/2012
InactiveWest Coast Life Insurance Company301607Agent - Life8/20/200911/16/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health3/4/20056/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Life3/4/20056/23/2008
InactiveJeremy Puckett Insurance Inc662545Agent - Health8/17/20072/23/2009
InactiveJeremy Puckett Insurance Inc662545Agent - Life8/17/20072/23/2009
InactiveJeremy Puckett Insurance Inc662545Agent - Property2/18/20082/23/2009
InactiveJeremy Puckett Insurance Inc662545Agent - Casualty2/18/20082/23/2009
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Health11/5/200712/24/2008
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Life11/5/200712/24/2008
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Property11/5/200712/24/2008
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Casualty11/5/200712/24/2008
InactiveMedlink Inc400721Agent - Health7/11/20078/1/2015
InactiveMedlink Inc400721Agent - Life7/11/20078/1/2015

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