DEPARTMENT OF INSURANCE

Affiliations

Name	FSB Insurance Inc.	DOIID	662030	NAIC NPN	8544626

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	6/21/2011	3/31/2019
Inactive	Non Resident	Agent	Property	6/21/2011	3/31/2019
Inactive	Non Resident	Agent	Health	6/22/2011	3/31/2019
Inactive	Non Resident	Agent	Life	6/22/2011	3/31/2019
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	9/15/2011	3/14/2018
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	9/15/2011	3/14/2018
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	11/24/2014	10/13/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	11/24/2014	10/13/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/21/2016	3/31/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/21/2016	3/31/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/1/2007	6/1/2010
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/1/2007	6/1/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/1/2007	6/1/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/1/2007	6/1/2010
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	6/27/2011	3/31/2019
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	6/27/2011	3/31/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/24/2011	3/31/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/24/2011	3/31/2019
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	9/27/2011	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	9/27/2011	5/1/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/18/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/18/2012	9/3/2013
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	2/10/2012	3/31/2019
Inactive	Meridian Security Insurance Company	300423	Agent - Property	2/10/2012	3/31/2019
Inactive	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017	3/31/2019
Inactive	Milbank Insurance Company	925185	Agent - Property	11/8/2017	3/31/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012	3/31/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012	3/31/2019
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/24/2014	10/13/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	11/24/2014	10/13/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	11/24/2014	10/13/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Property	11/24/2014	10/13/2017
Inactive	Owners Insurance Company	300796	Agent - Casualty	6/27/2011	3/31/2019
Inactive	Owners Insurance Company	300796	Agent - Property	6/27/2011	3/31/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/4/2012	2/16/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/4/2012	2/16/2018
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	6/4/2012	12/9/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	6/4/2012	12/9/2013
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	2/10/2012	3/31/2019
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	2/10/2012	3/31/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	2/10/2012	3/31/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	2/10/2012	3/31/2019
Inactive	Symetra Life Insurance Company	301691	Agent - Health	10/28/2011	3/31/2019
Inactive	Symetra Life Insurance Company	301691	Agent - Life	10/28/2011	3/31/2019
Inactive	United Financial Casualty Company	301886	Agent - Casualty	6/4/2012	2/16/2018
Inactive	United Financial Casualty Company	301886	Agent - Property	6/4/2012	2/16/2018
Inactive	West American Insurance Company	301112	Agent - Casualty	11/24/2014	10/13/2017
Inactive	West American Insurance Company	301112	Agent - Property	11/24/2014	10/13/2017
Inactive	Western Surety Company	300283	Agent - Casualty	11/30/2017	3/31/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gaddie, Charles Andrew	708648	Agent - Casualty	6/21/2011	3/31/2019
Inactive	Gaddie, Charles Andrew	708648	Agent - Health	6/22/2011	3/31/2019
Inactive	Gaddie, Charles Andrew	708648	Agent - Life	6/22/2011	3/31/2019
Inactive	Gaddie, Charles Andrew	708648	Agent - Property	6/21/2011	3/31/2019
Inactive	Leathers, Janet	656364	Agent - Health	10/26/2007	1/31/2009
Inactive	Leathers, Janet	656364	Agent - Life	10/26/2007	1/31/2009
Inactive	Plunk, Cynthia Carol	728832	Agent - Casualty	5/21/2012	3/31/2019
Inactive	Plunk, Cynthia Carol	728832	Agent - Property	5/21/2012	3/31/2019
Inactive	Stone, Addison Johnston	609956	Agent - Casualty	10/1/2007	3/31/2010
Inactive	Stone, Addison Johnston	609956	Agent - Health	9/10/2007	3/31/2010
Inactive	Stone, Addison Johnston	609956	Agent - Life	9/10/2007	3/31/2010
Inactive	Stone, Addison Johnston	609956	Agent - Property	10/1/2007	3/31/2010