DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Skidmore, Michael	DOIID	911423	NAIC NPN	17900432

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	4/28/2016		7/31/2025
Active	Resident	Agent	Health	4/12/2016		7/31/2025
Active	Resident	Agent	Life	4/12/2016		7/31/2025
Active	Resident	Agent	Property	4/28/2016		7/31/2025
* 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
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	11/16/2016	8/28/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/16/2016	8/28/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	12/19/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	12/19/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/22/2016	8/28/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/22/2016	8/28/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/27/2016	9/2/2020
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/27/2016	9/2/2020
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	6/15/2016	9/9/2020
Inactive	Dairyland Insurance Company	301370	Agent - Property	6/15/2016	9/9/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/27/2016	9/2/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/27/2016	9/2/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	6/8/2016
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	6/8/2016
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	6/8/2016
Inactive	Protective Life Insurance Company	300638	Agent - Health	7/22/2018	11/23/2019
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/22/2018	11/23/2019
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	6/8/2016
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	6/8/2016

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	8/24/2016
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	6/8/2016
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	6/8/2016
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	6/8/2016
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	6/8/2016
Inactive	Michael Skidmore LLC	941069	Agent - Life	1/3/2017	3/31/2021
Inactive	Michael Skidmore LLC	941069	Agent - Health	1/3/2017	3/31/2021
Inactive	Michael Skidmore LLC	941069	Agent - Casualty	1/3/2017	3/31/2021
Inactive	Michael Skidmore LLC	941069	Agent - Property	1/3/2017	3/31/2021