DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelley Jr, Roy Curtis	DOIID	855067	NAIC NPN	17388522

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	10/10/2014		9/30/2025
Active	Resident	Agent	Casualty	10/13/2014		9/30/2025
Active	Resident	Agent	Health	11/3/2014		9/30/2025
Active	Resident	Agent	Life	11/3/2014		9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	3/5/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	3/5/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/13/2023	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/13/2023	12/20/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	3/9/2016
Active	Dairyland Insurance Company	301370	Agent - Property	3/9/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/13/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/13/2023
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	12/19/2016	11/6/2018
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	12/19/2016	11/6/2018
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	7/5/2016	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	7/5/2016	12/29/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	11/10/2014
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	11/10/2014
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	11/10/2014
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	11/10/2014
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	11/10/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/10/2014	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/10/2014	2/13/2025
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	11/10/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	11/10/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	11/10/2014
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	11/10/2014