DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Elam, Donna K	DOIID	672293	NAIC NPN	10177526

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	3/7/2008	11/1/2011
Inactive	Resident	Agent	Health	7/31/2008	11/1/2011
Inactive	Resident	Agent	Life	7/23/2008	11/1/2011
Inactive	Resident	Agent	Property	3/7/2008	11/1/2011
* 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	FB Insurance Company (The)	301763	Agent - Casualty	7/31/2008	1/22/2010
Inactive	FB Insurance Company (The)	301763	Agent - Health	7/31/2008	1/22/2010
Inactive	FB Insurance Company (The)	301763	Agent - Property	7/31/2008	1/22/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/16/2008	11/1/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/16/2008	11/1/2011
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	7/31/2008	1/22/2010
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	7/31/2008	1/22/2010
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	7/31/2008	1/22/2010
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	8/5/2008	1/22/2010
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	8/5/2008	1/22/2010
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	3/7/2008	8/25/2008
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	3/7/2008	8/25/2008
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	3/7/2008	8/25/2008
Inactive	State Farm General Insurance Company	301122	Agent - Property	3/7/2008	8/25/2008
Inactive	State Farm Life Insurance Company	301810	Agent - Life	7/23/2008	8/25/2008
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	3/7/2008	8/25/2008

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	8/6/2008	1/18/2010
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/6/2008	1/18/2010
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/6/2008	1/18/2010
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/6/2008	1/18/2010