DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Willett, Lori Counts	DOIID	589773	NAIC NPN	8100994

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	6/25/2004		11/30/2024
Active	Resident	Agent	Health	1/11/2005		11/30/2024
Active	Resident	Agent	Life	1/11/2005		11/30/2024
Active	Resident	Agent	Property	6/25/2004		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/9/2005	9/7/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/9/2005	9/7/2012
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	7/7/2004
Active	State Farm Fire and Casualty Company	301809	Agent - Property	7/7/2004
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	7/7/2004	11/23/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	7/7/2004	11/23/2010
Active	State Farm Life Insurance Company	301810	Agent - Life	1/27/2005
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	7/7/2004
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	1/27/2005
Inactive	Time Insurance Company	300683	Agent - Health	3/16/2009	6/29/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dennis Bradford Insurance Agency Inc.	400176	Agent - Casualty	1/18/2005
Active	Dennis Bradford Insurance Agency Inc.	400176	Agent - Property	1/18/2005
Active	Dennis Bradford Insurance Agency Inc.	400176	Agent - Health	1/27/2005
Active	Dennis Bradford Insurance Agency Inc.	400176	Agent - Life	1/27/2005