DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Southeast Ky Ins.	DOIID	844390	NAIC NPN	17307454

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	7/1/2014	3/31/2022
Inactive	Resident	Agent	Health	7/1/2014	3/31/2022
Inactive	Resident	Agent	Property	7/1/2014	3/31/2022
Inactive	Resident	Agent	Life	7/1/2014	3/31/2022
* 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	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	5/28/2021
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	5/28/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/10/2018	5/28/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/10/2018	5/28/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/10/2018	5/28/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/10/2018	5/28/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sams, Jimmy Ray	338301	Agent - Casualty	7/1/2014	3/31/2022
Inactive	Sams, Jimmy Ray	338301	Agent - Health	7/1/2014	3/31/2022
Inactive	Sams, Jimmy Ray	338301	Agent - Life	7/1/2014	3/31/2022
Inactive	Sams, Jimmy Ray	338301	Agent - Property	7/1/2014	3/31/2022