DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, David	DOIID	726315	NAIC NPN	3096364

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/12/2010	8/31/2024
Inactive	Non Resident	Agent	Life	12/14/2011	8/31/2024
Inactive	Non Resident	Agent	Casualty	4/12/2010	8/31/2024
* 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
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	3/31/2017	8/25/2022
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	3/31/2017	8/25/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/31/2017	8/25/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/31/2017	8/25/2022
Inactive	Independence American Insurance Company	524747	Agent - Casualty	7/30/2020	12/18/2020
Inactive	Independence American Insurance Company	524747	Agent - Property	7/30/2020	12/30/2022
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/9/2012	12/15/2016
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/9/2012	12/15/2016
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	4/21/2010	11/15/2016
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	4/21/2010	11/15/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/26/2010	12/5/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/26/2010	12/5/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	6/3/2021	8/30/2022
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	6/3/2021	8/25/2022
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	11/2/2022	12/30/2022
Denied	Nationwide Sales Solutions Inc	631821	Agent - Casualty
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Life	2/28/2012	1/10/2017