DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hicks, Kami Douglas	DOIID	749560	NAIC NPN	16167151

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	3/22/2011	3/7/2012
Inactive	Resident	Agent	Limited Line Credit	10/23/2019	7/31/2024
Inactive	Resident	Agent	Property	3/21/2011	3/7/2012
* 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	FB Insurance Company (The)	301763	Agent - Casualty	3/22/2011	2/3/2012
Inactive	FB Insurance Company (The)	301763	Agent - Property	3/21/2011	2/3/2012
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	3/22/2011	2/3/2012
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	3/21/2011	2/3/2012
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	10/29/2019	7/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First & Farmers National Bank Inc	701544	Agent - Limited Line Credit	11/20/2019	5/20/2024