DEPARTMENT OF INSURANCE

Affiliations

Name	Bouldin, Scott Alan	DOIID	684187	NAIC NPN	11066719

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	7/22/2008	3/31/2026
Active	Resident	Agent	Property	7/29/2008	3/31/2026
Active	Resident	Agent	Casualty	7/29/2008	3/31/2026
Active	Resident	Agent	Life	7/22/2008	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	9/22/2015	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	9/22/2015	11/14/2021
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	10/1/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/1/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/22/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/22/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/22/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/22/2015	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/24/2010	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/24/2010	4/15/2025
Active	Bristol West Insurance Company	301655	Agent - Casualty	10/16/2009
Active	Bristol West Insurance Company	301655	Agent - Property	10/16/2009
Active	Dairyland Insurance Company	301370	Agent - Casualty	9/3/2008
Active	Dairyland Insurance Company	301370	Agent - Property	9/3/2008
Active	FB Insurance Company (The)	301763	Agent - Casualty	7/29/2008
Active	FB Insurance Company (The)	301763	Agent - Health	7/22/2008
Active	FB Insurance Company (The)	301763	Agent - Property	7/29/2008
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/10/2009
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/10/2009
Active	Illinois Mutual Life Insurance Company	301479	Agent - Health	1/22/2023
Active	Illinois Mutual Life Insurance Company	301479	Agent - Life	1/22/2023
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	12/2/2008	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	12/2/2008	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	7/11/2014	1/21/2017
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	7/11/2014	1/21/2017
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	7/29/2008
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	7/22/2008
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	7/29/2008
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	7/22/2008
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	7/22/2008

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 - Life	12/16/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/16/2013
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/1/2008
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/1/2008
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/1/2008
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/1/2008
Active	Scott Bouldin Insurance, Incorporated	796415	Agent - Casualty	10/31/2012
Active	Scott Bouldin Insurance, Incorporated	796415	Agent - Life	10/31/2012
Active	Scott Bouldin Insurance, Incorporated	796415	Agent - Health	10/31/2012
Active	Scott Bouldin Insurance, Incorporated	796415	Agent - Property	10/31/2012