DEPARTMENT OF INSURANCE

Affiliations

Name	Centers, Adam	DOIID	668804	NAIC NPN	8895558

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	11/21/2014	6/8/2015
Inactive	Resident	Agent	Life	11/3/2014	6/8/2015
Inactive	Resident	Agent	Casualty	11/25/2014	6/8/2015
Inactive	Resident	Agent	Health	11/3/2014	6/8/2015
Withdrawn	Resident	Property & Casualty Consultant	Not Applicable
* 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 General Life Insurance Company	301585	Agent - Health	3/10/2015	6/8/2015
Inactive	American General Life Insurance Company	301585	Agent - Life	3/10/2015	6/8/2015
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	7/12/2011	11/1/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	7/12/2011	11/1/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	9/2/2011	11/10/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/2/2011	11/10/2012
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/29/2008	6/30/2008
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/29/2008	6/30/2008
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/21/2008	6/11/2008
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/21/2008	6/11/2008
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	12/28/2007	5/22/2008
Inactive	FB Insurance Company (The)	301763	Agent - Health	12/19/2007	5/22/2008
Inactive	FB Insurance Company (The)	301763	Agent - Property	12/19/2007	5/22/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/21/2008	6/27/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/21/2008	6/27/2008
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	9/2/2011	11/10/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/2/2011	11/10/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/2/2011	11/10/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/18/2011	11/1/2012
Inactive	Humana Insurance Company	301104	Agent - Health	7/18/2011	11/1/2012
Inactive	Humana Insurance Company	301104	Agent - Life	7/18/2011	11/1/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/18/2011	11/1/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/18/2011	11/1/2012
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	12/28/2007	5/22/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	12/19/2007	5/22/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	12/19/2007	5/22/2008
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	7/12/2011	11/1/2011
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	7/12/2011	11/1/2011
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	7/12/2011	11/1/2011
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	12/19/2007	5/22/2008
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	12/19/2007	5/22/2008
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	12/2/2014	1/30/2015
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	12/2/2014	1/30/2015
Inactive	State Farm Life Insurance Company	301810	Agent - Life	12/2/2014	1/30/2015
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	12/2/2014	1/30/2015
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	12/2/2014	1/30/2015
Inactive	Texas Life Insurance Company	300345	Agent - Life	2/7/2008	4/4/2008
Inactive	Time Insurance Company	300683	Agent - Health	12/2/2014	1/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	1/4/2008	5/22/2008
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	1/4/2008	5/22/2008
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	1/4/2008	5/22/2008
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	1/4/2008	5/22/2008