DEPARTMENT OF INSURANCE
Affiliations
NameJeremy Puckett Insurance IncDOIID662545NAIC NPN9605176
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentCasualty2/18/20082/23/2009 
InactiveResidentAgentHealth8/17/20072/23/2009 
InactiveResidentAgentLife8/17/20072/23/2009 
InactiveResidentAgentProperty2/18/20082/23/2009 
* 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
InactiveFB Insurance Company (The)301763Agent - Casualty2/18/20081/5/2009
InactiveFB Insurance Company (The)301763Agent - Health2/18/20081/5/2009
InactiveFB Insurance Company (The)301763Agent - Property2/18/20081/5/2009
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Casualty2/18/20081/5/2009
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Health2/18/20081/5/2009
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Property2/18/20081/5/2009
InactiveReliaStar Life Insurance Company301712Agent - Health9/17/20072/23/2009
InactiveReliaStar Life Insurance Company301712Agent - Life9/17/20072/23/2009
InactiveSecurity Life of Denver Insurance Company300648Agent - Health9/17/20072/23/2009
InactiveSecurity Life of Denver Insurance Company300648Agent - Life9/17/20072/23/2009
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Health2/18/20081/5/2009
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Life2/18/20081/5/2009
InactiveVenerable Insurance and Annuity Company301006Agent - Life9/17/20072/23/2009
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCoulter, Jason T 613383Agent - Health8/30/200711/26/2007
InactiveCoulter, Jason T 613383Agent - Life8/30/200711/26/2007
InactivePuckett, Jeremy Michael 560964Agent - Casualty2/18/20082/23/2009
InactivePuckett, Jeremy Michael 560964Agent - Health8/17/20072/23/2009
InactivePuckett, Jeremy Michael 560964Agent - Life8/17/20072/23/2009
InactivePuckett, Jeremy Michael 560964Agent - Property2/18/20082/23/2009

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