DEPARTMENT OF INSURANCE

Affiliations

Name	Caudill, Tara Michelle	DOIID	709571	NAIC NPN	14437913

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	11/2/2020	8/31/2024
Active	Resident	Agent	Casualty	10/30/2020	8/31/2024
Active	Resident	Agent	Property	10/30/2020	8/31/2024
Active	Resident	Agent	Health	11/4/2020	8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/11/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/11/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/7/2020	10/5/2021
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	9/25/2023
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	9/25/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/11/2020	1/12/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/11/2020	1/12/2022
Inactive	Continental American Insurance Company	301700	Agent - Health	1/12/2022	9/22/2023
Inactive	Continental American Insurance Company	301700	Agent - Life	1/12/2022	9/22/2023
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	9/17/2021	1/12/2022
Inactive	Dairyland Insurance Company	301370	Agent - Property	9/17/2021	1/12/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/11/2020	1/12/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/11/2020	1/12/2022
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	11/9/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	11/9/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	11/9/2020
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	1/19/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	1/19/2022
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	11/9/2020
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	11/9/2020
Active	Starmount Life Insurance Company	628031	Agent - Health	1/19/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Health	1/19/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	1/19/2022
Active	Unum Insurance Company	301499	Agent - Health	1/19/2022
Active	Unum Insurance Company	301499	Agent - Life	1/19/2022
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	8/28/2009	8/4/2010
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	8/28/2009	8/4/2010
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	8/28/2009	8/4/2010
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	8/28/2009	8/4/2010

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 - Life	11/9/2020	11/30/2021
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	11/7/2020	11/30/2021
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	11/9/2020	11/30/2021
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	11/11/2020	11/30/2021