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	Property	11/27/2007	7/31/2025
Active	Resident	Agent	Casualty	11/27/2007	7/31/2025
Active	Resident	Agent	Life	10/30/2007	7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

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 Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
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
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	12/20/2024
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	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	2/17/2025
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