DEPARTMENT OF INSURANCE

Affiliations

Name	Puckett, Justin Edward	DOIID	666395	NAIC NPN	9759536

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	10/30/2007	7/31/2025
Active	Resident	Agent	Life	10/30/2007	7/31/2025
Active	Resident	Agent	Property	11/27/2007	7/31/2025
Active	Resident	Agent	Casualty	11/27/2007	7/31/2025
* 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
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/30/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/30/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/20/2014	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/20/2014	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/20/2014	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/20/2014	11/14/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	6/10/2013	12/22/2014
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	6/10/2013	12/22/2014
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008
Active	Bristol West Insurance Company	301655	Agent - Property	2/11/2008
Active	Dairyland Insurance Company	301370	Agent - Casualty	12/6/2007
Active	Dairyland Insurance Company	301370	Agent - Property	12/6/2007
Active	FB Insurance Company (The)	301763	Agent - Casualty	11/27/2007
Active	FB Insurance Company (The)	301763	Agent - Health	10/30/2007
Active	FB Insurance Company (The)	301763	Agent - Property	11/27/2007
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/11/2007
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/11/2007
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	11/27/2007
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	10/30/2007
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	11/27/2007
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	10/30/2007
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	10/30/2007
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/4/2011	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/4/2011	6/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	12/4/2007
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	12/4/2007
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	12/4/2007
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	12/4/2007