DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ballou, Benjamin Neil	DOIID	778693	NAIC NPN	13960707

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/4/2012	9/30/2017
Inactive	Non Resident	Agent	Casualty	4/4/2012	9/30/2017
* 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	Hartford Fire Insurance Company	300628	Agent - Casualty	8/5/2015	9/30/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/5/2015	9/30/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Powell & Meadows Ins Agency Inc	553173	Agent - Property	4/23/2012	12/17/2014
Inactive	Powell & Meadows Ins Agency Inc	553173	Agent - Casualty	4/23/2012	12/17/2014