DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	David M. Williams II, Insurance Agency, LLC	DOIID	861689	NAIC NPN	17434269

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	11/22/2014		3/31/2026
Active	Resident	Agent	Casualty	11/22/2014		3/31/2026
Active	Resident	Agent	Life	11/22/2014		3/31/2026
Active	Resident	Agent	Health	11/22/2014		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	3/29/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/29/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/5/2018	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/5/2018	11/14/2021
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	1/21/2015
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	1/21/2015
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	1/21/2015
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	1/21/2015
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	1/21/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Williams, David M	574431	Agent - Casualty	11/22/2014
Active	Williams, David M	574431	Agent - Health	11/22/2014
Active	Williams, David M	574431	Agent - Life	11/22/2014
Active	Williams, David M	574431	Agent - Property	11/22/2014