DEPARTMENT OF INSURANCE

Affiliations

Name	Hickerson, Gene L	DOIID	801240	NAIC NPN	16867624

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	1/22/2013	7/31/2026
Active	Resident	Agent	Health	8/26/2014	7/31/2026
Active	Resident	Agent	Life	10/8/2013	7/31/2026
Active	Resident	Agent	Property	1/22/2013	7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	07/10/2024	07/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	2/8/2013
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	2/8/2013
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	1/27/2014	11/4/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	1/27/2014	11/4/2022
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	11/11/2019
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	11/11/2019
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	11/19/2013	11/11/2019
Inactive	American Hallmark Insurance Company of Texas	709267	Agent - Casualty	5/12/2016	6/5/2024
Inactive	American Hallmark Insurance Company of Texas	709267	Agent - Property	5/12/2016	6/5/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/18/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/18/2015	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	12/14/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	12/14/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/18/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/18/2015	11/14/2021
Inactive	American National Insurance Company	301861	Agent - Health	12/17/2018	5/22/2024
Inactive	American National Insurance Company	301861	Agent - Life	12/17/2018	5/22/2024
Active	American National Life Insurance Company of Texas	300912	Agent - Life	5/18/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/18/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/18/2015	11/14/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	11/25/2014
Active	Anthem Life Insurance Company	301209	Agent - Life	11/25/2014
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	11/5/2013
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/12/2013
Active	Bristol West Insurance Company	301655	Agent - Property	3/12/2013
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	11/8/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/24/2016	2/21/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/24/2016	2/21/2019
Inactive	Columbian Life Insurance Company	300810	Agent - Life	4/2/2019	6/27/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/1/2014	12/8/2015
Active	Dairyland Insurance Company	301370	Agent - Casualty	11/10/2014
Active	Dairyland Insurance Company	301370	Agent - Property	11/10/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/1/2014	12/8/2015
Active	First Benefits Insurance Mutual, Inc.	1090183	Agent - Casualty	3/10/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/12/2013	12/7/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/12/2013	12/7/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/1/2014	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/1/2014	12/14/2016
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	5/14/2013	9/30/2021
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	5/14/2013	9/30/2021
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	5/14/2013	9/30/2021
Inactive	GuideOne Insurance Company	301794	Agent - Property	5/14/2013	9/30/2021
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	5/14/2013	9/30/2021
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	5/14/2013	9/30/2021
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/9/2015
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/9/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/1/2014	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/1/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/1/2014	4/16/2016
Inactive	Humana Insurance Company	301104	Agent - Life	10/1/2014	4/16/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/1/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/1/2014	12/8/2015
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/21/2019	12/14/2023
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/21/2019	12/14/2023
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/1/2014	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/1/2014	11/3/2015
Active	Kentucky League of Cities Insurance Services Association	300026	Agent - Casualty	8/31/2020
Active	Kentucky League of Cities Insurance Services Association	300026	Agent - Property	8/31/2020
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/24/2015	11/11/2019
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/22/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Property	4/22/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/31/2013
Active	Progressive Casualty Insurance Company	300696	Agent - Property	1/31/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/11/2015	11/11/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/11/2015	11/11/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/11/2015	11/11/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/11/2015	11/11/2019
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	2/13/2013	9/2/2020
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	2/13/2013	9/2/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017
Inactive	West American Insurance Company	301112	Agent - Casualty	11/19/2013	11/11/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	11/14/2016
Active	Designated Agent Company Inc.	681257	Agent - Life	11/25/2014
Active	Designated Agent Company Inc.	681257	Agent - Health	11/25/2014
Active	Hickerson Agency Llc	928982	Agent - Casualty	3/31/2018
Active	Hickerson Agency Llc	928982	Agent - Property	3/31/2018
Active	Hickerson Agency Llc	928982	Agent - Life	3/31/2018
Active	Hickerson Agency Llc	928982	Agent - Health	3/31/2018
Inactive	Peoples Coverage, Inc.	787786	Agent - Casualty	1/31/2013	3/31/2022
Inactive	Peoples Coverage, Inc.	787786	Agent - Property	1/31/2013	3/31/2022
Inactive	Peoples Coverage, Inc.	787786	Agent - Life	11/5/2013	3/31/2022
Inactive	Peoples Coverage, Inc.	787786	Agent - Health	2/2/2016	3/31/2022