DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Provenance Specialty Ins Agency LLC	DOIID	714228	NAIC NPN	14980038

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	9/23/2009		3/31/2027
Active	Resident	Agent	Property	9/23/2009		3/31/2027
Denied	Resident	Agent	Personal Lines
Denied	Resident	Agent	Life
Active	Resident	Surplus Lines Broker	Not Applicable	9/18/2014		3/31/2027
* 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	Great American Assurance Company	300327	Agent - Casualty	1/30/2014	4/27/2021
Inactive	Great American Assurance Company	300327	Agent - Property	1/30/2014	4/27/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/26/2009	10/5/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/26/2009	10/5/2010
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/26/2009	10/5/2010
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/26/2009	10/5/2010
Inactive	United Financial Casualty Company	301886	Agent - Casualty	10/26/2009	10/5/2010
Inactive	United Financial Casualty Company	301886	Agent - Property	10/26/2009	10/5/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fries, John Patrick	546817	Agent - Casualty	10/8/2009	8/31/2013
Inactive	Fries, John Patrick	546817	Agent - Property	10/8/2009	8/31/2013
Active	Jones, Kathy Lundy	320752	Agent - Casualty	11/5/2020
Active	Jones, Kathy Lundy	320752	Agent - Property	11/5/2020
Active	Jones, Kathy Lundy	320752	Surplus Lines Broker - Not Applicable	9/18/2014
Active	Jones, William Lynn	378928	Agent - Casualty	9/23/2009
Active	Jones, William Lynn	378928	Agent - Property	9/23/2009
Denied	Kearns, Michael Douglas	714881	Agent - Life