DEPARTMENT OF INSURANCE
Affiliations
NameMainsource Ins LLCDOIID612543NAIC NPN8386928
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty9/26/20053/31/2017 
InactiveNon ResidentAgentCasualty9/26/20053/31/2017 
InactiveNon ResidentAgentLife12/4/20098/1/2011 
InactiveNon ResidentAgentHealth12/4/20093/31/2017 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health12/20/200510/1/2009
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life12/20/200510/1/2009
InactiveAmerican Fire and Casualty Company300567Agent - Casualty4/6/20113/31/2017
InactiveAmerican Fire and Casualty Company300567Agent - Property4/6/20113/31/2017
InactiveAmerican National Insurance Company301861Agent - Health8/27/200810/1/2009
InactiveAmerican National Insurance Company301861Agent - Life8/27/200810/1/2009
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/15/20095/17/2017
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/15/200910/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health12/15/20095/17/2017
InactiveAnthem Life Insurance Company301209Agent - Life12/15/20098/1/2011
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life2/4/200810/1/2009
InactiveAuto-Owners Insurance Company301480Agent - Casualty7/6/200912/20/2010
InactiveAuto-Owners Insurance Company301480Agent - Property7/6/200912/20/2010
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty12/15/20093/23/2011
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property12/15/20093/23/2011
InactiveBanner Life Insurance Company301696Agent - Life1/15/20108/1/2011
InactiveConsolidated Insurance Company300943Agent - Casualty2/22/20073/31/2017
InactiveConsolidated Insurance Company300943Agent - Property2/22/20073/31/2017
InactiveFirst National Insurance Company of America301690Agent - Casualty10/16/20083/31/2017
InactiveFirst National Insurance Company of America301690Agent - Property10/16/20083/31/2017
InactiveGeneral Insurance Company of America300261Agent - Casualty10/16/20083/31/2017
InactiveGeneral Insurance Company of America300261Agent - Property10/16/20083/31/2017
InactiveGolden Rule Insurance Company301943Agent - Health3/4/200910/1/2009
InactiveGolden Rule Insurance Company301943Agent - Life3/4/200910/1/2009
InactiveHallmark National Insurance Company300494Agent - Casualty5/4/200612/31/2010
InactiveHallmark National Insurance Company300494Agent - Property5/4/200612/31/2010
InactiveHanover Insurance Company (The)300508Agent - Casualty11/21/20053/30/2006
InactiveHanover Insurance Company (The)300508Agent - Property11/21/20053/30/2006
InactiveIndiana Insurance Company301909Agent - Casualty2/22/20073/31/2017
InactiveIndiana Insurance Company301909Agent - Property2/22/20073/31/2017
InactiveIntegrity Life Insurance Company301687Agent - Life8/11/200810/1/2009
InactiveMassachusetts Bay Insurance Company300898Agent - Casualty11/21/20053/30/2006
InactiveMassachusetts Bay Insurance Company300898Agent - Property11/21/20053/30/2006
InactiveMeridian Citizens Mutual Insurance Company300935Agent - Casualty5/4/200612/31/2010
InactiveMeridian Citizens Mutual Insurance Company300935Agent - Property5/4/200612/31/2010
InactiveMeridian Security Insurance Company300423Agent - Casualty2/6/200712/31/2010
InactiveMeridian Security Insurance Company300423Agent - Property2/6/200712/31/2010
InactiveNetherlands Insurance Company (The)300339Agent - Casualty2/22/20073/31/2017
InactiveNetherlands Insurance Company (The)300339Agent - Property2/22/20073/31/2017
InactiveOhio Casualty Insurance Company301492Agent - Casualty12/3/20103/31/2017
InactiveOhio Casualty Insurance Company301492Agent - Property12/3/20103/31/2017
InactiveOhio Security Insurance Company300622Agent - Casualty4/6/20113/31/2017
InactiveOhio Security Insurance Company300622Agent - Property4/6/20113/31/2017
InactiveOmni Indemnity Company301456Agent - Casualty10/26/200510/20/2009
InactiveOmni Indemnity Company301456Agent - Property10/26/200510/20/2009
InactiveOmni Insurance Company301545Agent - Casualty10/26/200510/28/2009
InactiveOmni Insurance Company301545Agent - Property10/26/200510/28/2009
InactiveOwners Insurance Company300796Agent - Casualty7/6/200912/20/2010
InactiveOwners Insurance Company300796Agent - Property7/6/200912/20/2010
InactivePeerless Insurance Company301910Agent - Casualty2/22/20073/31/2017
InactivePeerless Insurance Company301910Agent - Property2/22/20073/31/2017
InactiveProgressive Casualty Insurance Company300696Agent - Casualty8/9/20062/18/2011
InactiveProgressive Casualty Insurance Company300696Agent - Property8/9/20062/18/2011
InactiveProgressive Northern Insurance Company301378Agent - Casualty8/9/20062/18/2011
InactiveProgressive Northern Insurance Company301378Agent - Property8/9/20062/18/2011
InactiveProvident Life and Accident Insurance Company301525Agent - Health8/18/200810/1/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life8/18/200810/1/2009
InactiveSAFECO Insurance Company of America300159Agent - Casualty10/16/20083/31/2017
InactiveSAFECO Insurance Company of America300159Agent - Property10/16/20083/31/2017
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty10/16/20083/31/2017
InactiveSAFECO Insurance Company of Illinois301350Agent - Property10/16/20083/31/2017
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty12/15/20091/12/2011
InactiveStandard Fire Insurance Company (The)301068Agent - Property12/15/20091/12/2011
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty5/4/200612/31/2010
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property5/4/200612/31/2010
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty5/4/200612/31/2010
InactiveState Automobile Mutual Insurance Company301824Agent - Property5/4/200612/31/2010
InactiveThe Phoenix Insurance Company301502Agent - Casualty12/15/20091/12/2011
InactiveThe Phoenix Insurance Company301502Agent - Property12/15/20091/12/2011
InactiveTravelers Commercial Insurance Company301506Agent - Casualty12/15/20093/23/2011
InactiveTravelers Commercial Insurance Company301506Agent - Property12/15/20093/23/2011
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty12/15/20093/23/2011
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property12/15/20093/23/2011
InactiveTravelers Indemnity Company (The)301855Agent - Casualty12/15/20091/12/2011
InactiveTravelers Indemnity Company (The)301855Agent - Property12/15/20091/12/2011
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty12/15/20093/23/2011
InactiveTravelers Indemnity Company of America (The)301093Agent - Property12/15/20093/23/2011
InactiveTrumbull Insurance Company300242Agent - Casualty10/26/200511/7/2008
InactiveTrumbull Insurance Company300242Agent - Property10/26/200511/7/2008
InactiveUNUM Life Insurance Company of America300817Agent - Health8/18/200810/1/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life8/18/200810/1/2009
InactiveUnited Financial Casualty Company301886Agent - Casualty8/9/20062/18/2011
InactiveUnited Financial Casualty Company301886Agent - Property8/9/20062/18/2011
InactiveWellCare Prescription Insurance Inc.654329Agent - Health6/7/20102/14/2011
InactiveWest American Insurance Company301112Agent - Casualty4/6/20113/31/2017
InactiveWest American Insurance Company301112Agent - Property4/6/20113/31/2017
InactiveWestern National Life Insurance Company300461Agent - Life12/6/20108/1/2011
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBlauvelt, Martha S 503052Agent - Casualty9/26/200512/31/2008
InactiveBlauvelt, Martha S 503052Agent - Property9/26/200512/31/2008
InactiveKnueven, Denise M 346146Agent - Casualty9/26/20053/31/2017
InactiveKnueven, Denise M 346146Agent - Property9/26/20053/31/2017
InactiveMiller, Beverly A 564261Agent - Casualty12/3/200912/19/2011
InactiveMiller, Beverly A 564261Agent - Health12/4/20093/31/2017
InactiveMiller, Beverly A 564261Agent - Life12/4/200910/15/2010
InactiveMiller, Beverly A 564261Agent - Property12/3/200912/19/2011
InactivePennington, Sarah F 675743Agent - Health1/22/20105/31/2011
InactivePennington, Sarah F 675743Agent - Life1/22/20105/31/2011
InactiveSamples, Brad W 594622Agent - Casualty9/26/20053/31/2017
InactiveSamples, Brad W 594622Agent - Property9/26/20053/31/2017
InactiveVollmer, Jerry J 600890Agent - Casualty9/26/20053/31/2007
InactiveVollmer, Jerry J 600890Agent - Health9/26/20053/31/2007
InactiveVollmer, Jerry J 600890Agent - Life9/26/20053/31/2007
InactiveVollmer, Jerry J 600890Agent - Property9/26/20053/31/2007

© Commonwealth of Kentucky. All rights reserved.