PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameTaker, Lisa MDOIID716395NAIC NPN4916823
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty10/22/2009 2/28/2027
ActiveNon ResidentAgentLife1/8/2013 2/28/2027
ActiveNon ResidentAgentHealth1/8/2013 2/28/2027
ActiveNon ResidentAgentProperty10/22/2009 2/28/2027
ActiveNon ResidentSurplus Lines BrokerNot Applicable3/18/2025 2/28/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202402/28/202501/17/202501/17/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Casualty8/9/20118/14/2013
InactiveBristol West Insurance Company301655Agent - Property8/9/20118/14/2013
InactiveClear Blue Insurance Company517511Agent - Casualty6/26/20135/20/2014
InactiveClear Blue Insurance Company517511Agent - Property6/26/20135/20/2014
InactiveEmployers Insurance Company of Wausau301813Agent - Casualty5/5/20165/18/2021
InactiveEmployers Insurance Company of Wausau301813Agent - Property5/5/20165/18/2021
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty5/5/20165/18/2021
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Property5/5/20165/18/2021
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/9/20118/14/2013
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/9/20118/14/2013
InactiveGreat American Insurance Company301586Agent - Casualty2/20/20137/16/2019
InactiveGreat American Insurance Company301586Agent - Property2/20/20137/16/2019
ActiveIntrepid Casualty Company1196014Agent - Casualty9/6/2023 
ActiveIntrepid Casualty Company1196014Agent - Property9/6/2023 
ActiveIntrepid Insurance Company567182Agent - Casualty9/6/2023 
ActiveIntrepid Insurance Company567182Agent - Property9/6/2023 
InactiveLM Insurance Corporation301061Agent - Casualty5/5/20165/18/2021
InactiveLM Insurance Corporation301061Agent - Property5/5/20165/18/2021
InactiveLiberty Insurance Corporation300444Agent - Casualty5/5/20165/18/2021
InactiveLiberty Insurance Corporation300444Agent - Property5/5/20165/18/2021
InactiveLiberty Mutual Fire Insurance Company301913Agent - Casualty5/5/20165/18/2021
InactiveLiberty Mutual Fire Insurance Company301913Agent - Property5/5/20165/18/2021
InactiveLiberty Mutual Insurance Company301159Agent - Casualty5/5/20165/18/2021
InactiveLiberty Mutual Insurance Company301159Agent - Property5/5/20165/18/2021
InactiveMerchants Bonding Company (Mutual)300170Agent - Casualty11/11/200910/5/2012
InactiveMount Vernon Fire Insurance Company301397Agent - Casualty7/13/201511/20/2018
InactiveMount Vernon Fire Insurance Company301397Agent - Property7/13/201511/20/2018
InactiveOhio Casualty Insurance Company301492Agent - Casualty7/5/20175/18/2021
InactiveOhio Casualty Insurance Company301492Agent - Property7/5/20175/18/2021
InactiveOhio Security Insurance Company300622Agent - Casualty7/5/20175/18/2021
InactiveOhio Security Insurance Company300622Agent - Property7/5/20175/18/2021
InactiveRLI Insurance Company301217Agent - Casualty6/26/20133/31/2022
InactiveRLI Insurance Company301217Agent - Property6/26/20133/31/2022
InactiveUniversal Underwriters Insurance Company301558Agent - Casualty10/27/20099/22/2016
InactiveUniversal Underwriters Insurance Company301558Agent - Property10/27/20099/22/2016
InactiveUniversal Underwriters Life Insurance Company301200Agent - Health1/11/20139/22/2016
InactiveUniversal Underwriters Life Insurance Company301200Agent - Life1/11/20139/22/2016
InactiveUniversal Underwriters of Texas Insurance Company639543Agent - Casualty7/23/20109/22/2016
InactiveUniversal Underwriters of Texas Insurance Company639543Agent - Property7/23/20109/22/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveIntrepid Direct Ins Agency LLC931179Agent - Property9/6/2023 
ActiveIntrepid Direct Ins Agency LLC931179Agent - Casualty9/6/2023 
InactiveYouzoom Insurance Services, Inc.788817Agent - Property5/24/20132/2/2018
InactiveYouzoom Insurance Services, Inc.788817Agent - Casualty5/24/20132/2/2018
InactiveYouzoom Insurance Services, Inc.788817Agent - Life5/24/20139/22/2016
InactiveYouzoom Insurance Services, Inc.788817Agent - Health5/24/20139/22/2016
InactiveZurich Agency Services Inc400817Agent - Property11/2/20094/14/2015
InactiveZurich Agency Services Inc400817Agent - Casualty11/2/20094/14/2015

© Commonwealth of Kentucky. All rights reserved.