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DEPARTMENT OF INSURANCE
Affiliations
Name
Puckett, Jeremy Michael
DOIID
560964
NAIC NPN
7519738
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Non Resident
Agent
Property
Inactive
Non Resident
Agent
Casualty
1/25/2012
Inactive
Non Resident
Agent
Life
9/18/2019
7/31/2021
Inactive
Resident
Agent
Health
12/5/2002
8/1/2015
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
8/27/2008
1/25/2012
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
8/19/2008
4/15/2009
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
8/19/2008
4/15/2009
Inactive
American Investors Life Insurance Company, Inc.
301358
Agent - Life
7/6/2005
6/18/2007
Inactive
Anthem Life Insurance Company
301209
Agent - Health
3/1/2005
1/21/2009
Inactive
Anthem Life Insurance Company
301209
Agent - Life
3/1/2005
1/21/2009
Inactive
Athene Annuity and Life Company
301893
Agent - Life
12/13/2010
8/1/2015
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Casualty
6/23/2009
1/25/2012
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Property
6/23/2009
1/25/2012
Inactive
Banner Life Insurance Company
301696
Agent - Life
2/7/2012
8/21/2014
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
6/15/2007
12/13/2011
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
6/15/2007
12/13/2011
Inactive
Bristol West Insurance Company
301655
Agent - Casualty
2/1/2008
2/26/2009
Inactive
Bristol West Insurance Company
301655
Agent - Property
2/1/2008
2/26/2009
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Casualty
6/23/2009
1/25/2012
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Property
6/23/2009
1/25/2012
Inactive
Dairyland Insurance Company
301370
Agent - Casualty
8/7/2009
7/20/2010
Inactive
Dairyland Insurance Company
301370
Agent - Property
8/7/2009
7/20/2010
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
5/6/2009
8/31/2011
Inactive
FB Insurance Company (The)
301763
Agent - Casualty
10/25/2007
12/29/2008
Inactive
FB Insurance Company (The)
301763
Agent - Health
10/25/2007
12/29/2008
Inactive
FB Insurance Company (The)
301763
Agent - Property
10/25/2007
12/29/2008
Inactive
Farmington Casualty Company
301137
Agent - Casualty
6/23/2009
1/25/2012
Inactive
Farmington Casualty Company
301137
Agent - Property
6/23/2009
1/25/2012
Denied
First Penn-Pacific Life Insurance Company
301581
Agent - Health
Denied
First Penn-Pacific Life Insurance Company
301581
Agent - Life
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
11/7/2007
2/24/2009
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
11/7/2007
2/24/2009
Inactive
Genworth Life Insurance Company
300623
Agent - Health
4/1/2009
12/7/2012
Inactive
Genworth Life Insurance Company
300623
Agent - Life
4/1/2009
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
10/16/2007
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
10/16/2007
12/7/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Health
11/15/2005
11/10/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Life
11/15/2005
11/10/2008
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
6/15/2007
8/1/2015
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
6/15/2007
8/1/2015
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
6/15/2007
8/1/2015
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
5/6/2009
8/31/2011
Inactive
Humana Insurance Company
301104
Agent - Health
5/6/2009
8/31/2011
Inactive
Humana Insurance Company
301104
Agent - Life
5/6/2009
8/31/2011
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
5/6/2009
8/31/2011
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
5/6/2009
8/31/2011
Inactive
Independent Mutual Fire Insurance Company
300851
Agent - Casualty
4/9/2007
5/30/2007
Inactive
Independent Mutual Fire Insurance Company
300851
Agent - Property
3/11/2003
5/30/2007
Denied
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
Denied
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
7/3/2003
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
7/3/2003
4/2/2007
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
1/2/2008
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
1/2/2008
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
9/19/2008
4/23/2014
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
9/18/2019
7/31/2021
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
3/9/2009
1/25/2012
Inactive
Kanawha Insurance Company
300127
Agent - Health
5/6/2009
8/31/2011
Inactive
Kanawha Insurance Company
300127
Agent - Life
5/6/2009
8/31/2011
Inactive
Kentucky Farm Bureau Mutual Insurance Company
300570
Agent - Casualty
10/25/2007
12/19/2008
Inactive
Kentucky Farm Bureau Mutual Insurance Company
300570
Agent - Health
10/25/2007
12/19/2008
Inactive
Kentucky Farm Bureau Mutual Insurance Company
300570
Agent - Property
10/25/2007
12/19/2008
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Health
6/8/2009
2/22/2010
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Life
6/8/2009
2/22/2010
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
5/12/2012
6/18/2013
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
5/12/2012
6/18/2013
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
10/5/2011
12/26/2012
Inactive
Omaha Insurance Company
751908
Agent - Health
3/30/2012
6/24/2013
Inactive
Progressive Casualty Insurance Company
300696
Agent - Casualty
7/1/2009
1/25/2012
Inactive
Progressive Casualty Insurance Company
300696
Agent - Property
7/1/2009
1/25/2012
Inactive
Progressive Northern Insurance Company
301378
Agent - Casualty
7/1/2009
1/25/2012
Inactive
Progressive Northern Insurance Company
301378
Agent - Property
7/1/2009
1/25/2012
Inactive
Protective Life Insurance Company
300638
Agent - Life
10/20/2020
7/31/2021
Inactive
Pruco Life Insurance Company
300954
Agent - Health
5/20/2009
12/23/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Life
5/20/2009
12/23/2014
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
8/23/2007
10/6/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
8/23/2007
10/6/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
8/23/2007
12/31/2009
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
8/23/2007
12/31/2009
Inactive
Security Mutual Life Insurance Company of NY
300708
Agent - Life
6/26/2009
4/14/2010
Inactive
Southern Farm Bureau Life Insurance Company
300909
Agent - Health
10/25/2007
12/29/2008
Inactive
Southern Farm Bureau Life Insurance Company
300909
Agent - Life
10/25/2007
12/29/2008
Inactive
Southern Farm Bureau Life Insurance Company
300909
Agent - Variable Life and Variable Annuities
8/27/2008
12/29/2008
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Casualty
6/23/2009
1/25/2012
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Property
6/23/2009
1/25/2012
Inactive
The Phoenix Insurance Company
301502
Agent - Casualty
6/23/2009
1/25/2012
Inactive
The Phoenix Insurance Company
301502
Agent - Property
6/23/2009
1/25/2012
Inactive
The Savings Bank Mutual Life Insurance Company of Massachusetts
690290
Agent - Life
10/27/2009
12/26/2009
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
7/17/2009
8/1/2015
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
7/17/2009
8/1/2015
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
1/10/2011
8/1/2015
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
1/10/2011
8/1/2015
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Casualty
6/23/2009
1/25/2012
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Property
6/23/2009
1/25/2012
Inactive
Travelers Casualty and Surety Company
301067
Agent - Casualty
6/23/2009
1/25/2012
Inactive
Travelers Casualty and Surety Company
301067
Agent - Property
6/23/2009
1/25/2012
Inactive
Travelers Commercial Insurance Company
301506
Agent - Casualty
6/23/2009
1/25/2012
Inactive
Travelers Commercial Insurance Company
301506
Agent - Property
6/23/2009
1/25/2012
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Casualty
6/23/2009
1/25/2012
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Property
6/23/2009
1/25/2012
Inactive
Travelers Indemnity Company (The)
301855
Agent - Casualty
6/23/2009
1/25/2012
Inactive
Travelers Indemnity Company (The)
301855
Agent - Property
6/23/2009
1/25/2012
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Casualty
6/23/2009
1/25/2012
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Property
6/23/2009
1/25/2012
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Casualty
6/23/2009
1/25/2012
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Property
6/23/2009
1/25/2012
Inactive
Travelers Property Casualty Company of America
301649
Agent - Casualty
6/23/2009
1/25/2012
Inactive
Travelers Property Casualty Company of America
301649
Agent - Property
6/23/2009
1/25/2012
Inactive
United American Insurance Company
300910
Agent - Health
8/1/2007
1/3/2008
Inactive
United American Insurance Company
300910
Agent - Life
8/1/2007
1/3/2008
Inactive
United Financial Casualty Company
301886
Agent - Casualty
7/1/2009
1/25/2012
Inactive
United Financial Casualty Company
301886
Agent - Property
7/1/2009
1/25/2012
Inactive
United World Life Insurance Company
300532
Agent - Health
4/7/2006
11/1/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
10/5/2011
12/26/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
10/5/2011
12/26/2012
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
7/31/2009
10/19/2012
Inactive
Victoria Fire & Casualty Company
300313
Agent - Casualty
5/4/2011
1/25/2012
Inactive
Victoria Fire & Casualty Company
300313
Agent - Property
5/4/2011
1/25/2012
Inactive
West Coast Life Insurance Company
301607
Agent - Life
8/20/2009
11/16/2011
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
3/4/2005
6/23/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
3/4/2005
6/23/2008
Inactive
Jeremy Puckett Insurance Inc
662545
Agent - Health
8/17/2007
2/23/2009
Inactive
Jeremy Puckett Insurance Inc
662545
Agent - Life
8/17/2007
2/23/2009
Inactive
Jeremy Puckett Insurance Inc
662545
Agent - Property
2/18/2008
2/23/2009
Inactive
Jeremy Puckett Insurance Inc
662545
Agent - Casualty
2/18/2008
2/23/2009
Inactive
Kentucky Farm Bureau Insurance Agency LLC
399619
Agent - Health
11/5/2007
12/24/2008
Inactive
Kentucky Farm Bureau Insurance Agency LLC
399619
Agent - Life
11/5/2007
12/24/2008
Inactive
Kentucky Farm Bureau Insurance Agency LLC
399619
Agent - Property
11/5/2007
12/24/2008
Inactive
Kentucky Farm Bureau Insurance Agency LLC
399619
Agent - Casualty
11/5/2007
12/24/2008
Inactive
Medlink Inc
400721
Agent - Health
7/11/2007
8/1/2015
Inactive
Medlink Inc
400721
Agent - Life
7/11/2007
8/1/2015
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