DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jay Allen Insurance Agency LLC	DOIID	856827	NAIC NPN	17397903

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	10/16/2014		3/31/2026
Active	Resident	Agent	Property	10/16/2014		3/31/2026
Active	Resident	Agent	Casualty	10/16/2014		3/31/2026
Active	Resident	Agent	Life	10/16/2014		3/31/2026
* 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	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	12/20/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	12/20/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/24/2014	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/24/2014	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/24/2014	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/24/2014	11/14/2021
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 Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allen, Jack Reginald	392975	Agent - Casualty	10/16/2014
Active	Allen, Jack Reginald	392975	Agent - Health	10/16/2014
Active	Allen, Jack Reginald	392975	Agent - Life	10/16/2014
Active	Allen, Jack Reginald	392975	Agent - Property	10/16/2014