DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hicks, Mandie Lee	DOIID	656432	NAIC NPN	9318939

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	5/4/2017		9/30/2025
Active	Resident	Agent	Property	4/25/2017		9/30/2025
Active	Resident	Agent	Life	7/26/2016		9/30/2025
Active	Resident	Agent	Health	2/11/2016		9/30/2025
* 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
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/11/2016	8/30/2017
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/26/2016	8/30/2017
Active	American Modern Home Insurance Company	300791	Agent - Casualty	2/13/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	2/13/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/3/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/3/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/13/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/24/2020
Active	Bristol West Insurance Company	301655	Agent - Property	1/24/2020
Active	Dairyland Insurance Company	301370	Agent - Casualty	2/3/2020
Active	Dairyland Insurance Company	301370	Agent - Property	2/3/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/24/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/24/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	5/4/2017
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	4/25/2017
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	4/25/2017
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	1/8/2020
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	1/8/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	12/31/2019
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	12/31/2019
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	12/31/2019
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	1/8/2020