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	License Expiration Date
Active	Resident	Agent	Life	4/12/2016	7/31/2025
Active	Resident	Agent	Property	4/28/2016	7/31/2025
Active	Resident	Agent	Casualty	4/28/2016	7/31/2025
Active	Resident	Agent	Health	4/12/2016	7/31/2025
* 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	05/15/2025	07/31/2025

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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
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
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/24/2016	2/17/2025
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