DEPARTMENT OF INSURANCE

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	Health	11/3/2014		9/30/2025
Active	Resident	Agent	Casualty	10/13/2014		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.

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	Bristol West Insurance Company	301655	Agent - Casualty	3/13/2023
Active	Bristol West Insurance Company	301655	Agent - Property	3/13/2023
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
Active	Designated Agent Company Inc.	681257	Agent - Health	11/10/2014
Active	Designated Agent Company Inc.	681257	Agent - Life	11/10/2014
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