DEPARTMENT OF INSURANCE

Affiliations

Name	Polley, Patricia Ann	DOIID	562156	NAIC NPN	7538163

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	6/29/2007		12/31/2025
Active	Resident	Agent	Life	6/25/2009		12/31/2025
Active	Resident	Agent	Health	3/5/2009		12/31/2025
Active	Resident	Agent	Property	6/29/2007		12/31/2025
Inactive	Resident	Independent Adjuster	Property & Casualty	5/28/2013	12/23/2014
Active	Resident	Staff Adjuster	Property & Casualty	12/23/2014		12/31/2025
* 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
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	3/21/2023
Active	Auto-Owners Insurance Company	301480	Agent - Property	3/21/2023
Active	Auto-Owners Life Insurance Company	301368	Agent - Health	3/21/2023
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	3/21/2023
Active	Capitol Indemnity Corporation	301030	Agent - Casualty	4/11/2023
Active	Erie Family Life Insurance Company	301400	Agent - Health	1/3/2025
Active	Erie Family Life Insurance Company	301400	Agent - Life	4/12/2023
Active	Erie Insurance Company	300230	Agent - Casualty	4/12/2023
Active	Erie Insurance Company	300230	Agent - Property	4/12/2023
Active	Erie Insurance Company of New York	789916	Agent - Casualty	5/12/2023
Active	Erie Insurance Company of New York	789916	Agent - Property	5/12/2023
Active	Erie Insurance Exchange	300789	Agent - Casualty	4/12/2023
Active	Erie Insurance Exchange	300789	Agent - Property	4/12/2023
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	5/12/2023
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	5/12/2023
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	6/29/2007	4/22/2013
Inactive	FB Insurance Company (The)	301763	Agent - Health	3/9/2009	4/22/2013
Inactive	FB Insurance Company (The)	301763	Agent - Property	6/29/2007	4/22/2013
Active	Flagship City Insurance Company	789965	Agent - Casualty	5/12/2023
Active	Flagship City Insurance Company	789965	Agent - Property	5/12/2023
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	6/29/2007	4/22/2013
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	3/9/2009	4/22/2013
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	6/29/2007	4/22/2013
Active	Owners Insurance Company	300796	Agent - Casualty	3/21/2023
Active	Owners Insurance Company	300796	Agent - Property	3/21/2023
Active	Platte River Insurance Company	301089	Agent - Casualty	4/11/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/22/2013	5/29/2014
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/22/2013	5/29/2014
Inactive	State Farm Life Insurance Company	301810	Agent - Life	8/22/2013	5/29/2014
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/22/2013	5/29/2014
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	8/22/2013	5/29/2014
Inactive	Time Insurance Company	300683	Agent - Health	8/22/2013	5/29/2014
Active	West Bend Insurance Company	672974	Agent - Casualty	7/24/2023
Active	West Bend Insurance Company	672974	Agent - Property	7/24/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Hockensmith Agency Inc. [The]	400375	Agent - Casualty	4/10/2023
Active	Hockensmith Agency Inc. [The]	400375	Agent - Property	4/10/2023
Active	Hockensmith Agency Inc. [The]	400375	Agent - Health	4/10/2023
Active	Hockensmith Agency Inc. [The]	400375	Agent - Life	4/10/2023
Active	Kentucky National Insurance Company	301625	Staff Adjuster - Property & Casualty	7/30/2020