DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Scott Bouldin Insurance, Incorporated	DOIID	796415	NAIC NPN	16818720

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	10/31/2012		3/31/2028
Active	Resident	Agent	Health	10/31/2012		3/31/2028
Active	Resident	Agent	Life	10/31/2012		3/31/2028
Active	Resident	Agent	Casualty	10/31/2012		3/31/2028
* 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
Active	FB Insurance Company (The)	301763	Agent - Casualty	11/13/2012
Active	FB Insurance Company (The)	301763	Agent - Health	11/13/2012
Active	FB Insurance Company (The)	301763	Agent - Property	11/13/2012
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	11/13/2012
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	11/13/2012
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	11/13/2012
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	11/13/2012
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	11/13/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bouldin, Scott Alan	684187	Agent - Casualty	10/31/2012
Active	Bouldin, Scott Alan	684187	Agent - Health	10/31/2012
Active	Bouldin, Scott Alan	684187	Agent - Life	10/31/2012
Active	Bouldin, Scott Alan	684187	Agent - Property	10/31/2012