DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Marcy, Justine Sonia	DOIID	902749	NAIC NPN	17814096

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	10/25/2021		8/31/2024
Active	Resident	Agent	Property	10/21/2021		8/31/2024
Inactive	Resident	Apprentice Adjuster	Not Applicable	4/20/2023	5/10/2023
Active	Resident	Staff Adjuster	Property & Casualty	5/10/2023		8/31/2024
* 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	06/15/2024	08/31/2024
Staff Adjuster	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	10/25/2021
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	10/25/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Staff Adjuster - Property & Casualty	5/22/2023

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Payne, Robert D	360225	Apprentice Adjuster - Not Applicable	4/20/2023	5/10/2023
Inactive	Perdue, Karen Sue	375666	Apprentice Adjuster - Not Applicable	12/21/2015	1/8/2016