DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Kenneth Alan	DOIID	692166	NAIC NPN	5940945

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/6/2019		6/30/2026
Active	Non Resident	Agent	Property	5/13/2016		6/30/2026
Active	Non Resident	Agent	Casualty	5/13/2016		6/30/2026
Active	Non Resident	Agent	Life	5/13/2016		6/30/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/28/2017	1/2/2024
* 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	ACE American Insurance Company	300625	Agent - Casualty	6/22/2021
Active	ACE American Insurance Company	300625	Agent - Property	6/22/2021
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	6/22/2021
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	6/22/2021
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/22/2021
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/22/2021
Active	All Savers Insurance Company	301940	Agent - Health	6/17/2024
Active	All Savers Insurance Company	301940	Agent - Life	6/17/2024
Active	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/8/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/10/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/10/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/8/2020
Active	Anthem Life Insurance Company	301209	Agent - Health	8/8/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	8/8/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/5/2018	7/24/2018
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/5/2018	7/24/2018
Active	BusinessFirst Insurance Company	722488	Agent - Casualty	11/5/2020
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	2/29/2024	7/23/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/21/2011	6/30/2012
Inactive	Delta Dental of Kentucky, Inc.	301166	Agent - Health	1/23/2009	2/8/2011
Inactive	Dental Choice, Inc.	301702	Agent - Health	1/23/2009	2/8/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/21/2011	6/30/2012
Inactive	Erie Family Life Insurance Company	301400	Agent - Health	11/7/2019	12/8/2023
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	5/20/2016	12/8/2023
Inactive	Erie Insurance Company	300230	Agent - Casualty	5/20/2016	12/8/2023
Inactive	Erie Insurance Company	300230	Agent - Property	5/20/2016	12/8/2023
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	5/20/2016	12/8/2023
Inactive	Erie Insurance Company of New York	789916	Agent - Property	5/20/2016	12/8/2023
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	5/20/2016	12/8/2023
Inactive	Erie Insurance Exchange	300789	Agent - Property	5/20/2016	12/8/2023
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	5/20/2016	12/8/2023
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	5/20/2016	12/8/2023
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	5/20/2016	12/8/2023
Inactive	Flagship City Insurance Company	789965	Agent - Property	5/20/2016	12/8/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/21/2011	6/30/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/21/2011	6/30/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/21/2011	6/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/21/2011	6/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/21/2011	6/30/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/21/2011	6/30/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/21/2011	6/30/2012
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	10/4/2017	12/16/2021
Inactive	Meridian Security Insurance Company	300423	Agent - Property	10/4/2017	12/16/2021
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Active	Palomar Specialty Insurance Company	841441	Agent - Casualty	9/18/2024
Active	Palomar Specialty Insurance Company	841441	Agent - Property	9/18/2024
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	6/15/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Health	6/15/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	6/15/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/7/2016
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/7/2016
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	1/26/2017
Active	SAFECO Insurance Company of America	300159	Agent - Property	1/26/2017
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/26/2017
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/26/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/5/2018	7/24/2018
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/5/2018	7/24/2018
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	10/4/2017	12/16/2021
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	10/4/2017	12/16/2021
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/4/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	10/4/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/5/2018	7/24/2018
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/5/2018	7/24/2018
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/5/2018	7/24/2018
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/5/2018	7/24/2018
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	2/7/2019	2/7/2024
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	2/7/2019	2/7/2024
Active	United Financial Casualty Company	301886	Agent - Casualty	7/7/2016
Active	United Financial Casualty Company	301886	Agent - Property	7/7/2016
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/11/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	9/30/2016
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/29/2020
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/29/2020
Active	Western Surety Company	300283	Agent - Casualty	12/6/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ellis Insurance Agency	990603	Agent - Health	11/6/2019	3/31/2024
Inactive	Ellis Insurance Agency	990603	Agent - Life	4/9/2018	3/31/2024
Inactive	Ellis Insurance Agency	990603	Agent - Property	4/9/2018	3/31/2024
Inactive	Ellis Insurance Agency	990603	Agent - Casualty	4/9/2018	3/31/2024
Inactive	Ellis Insurance Agency	990603	Surplus Lines Broker - Not Applicable	4/9/2018	1/2/2024