DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Payne, Theresa Jean	DOIID	931961	NAIC NPN	18140428

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	9/28/2017		12/31/2024
Active	Resident	Agent	Health	3/15/2018		12/31/2024
Active	Resident	Agent	Casualty	10/11/2016		12/31/2024
Active	Resident	Agent	Property	10/20/2016		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	2/8/2019	12/20/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	2/8/2019	12/20/2023
Active	BITCO General Insurance Corporation	301305	Agent - Casualty	10/4/2021
Active	BITCO General Insurance Corporation	301305	Agent - Property	10/4/2021
Active	BITCO National Insurance Company	301366	Agent - Casualty	10/4/2021
Active	BITCO National Insurance Company	301366	Agent - Property	10/4/2021
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	10/26/2016	10/6/2017
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	10/26/2016	10/6/2017
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	2/16/2021
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	2/16/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	4/11/2023
Active	Westfield Insurance Company	301950	Agent - Property	4/11/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Houchens Insurance Group, Inc.	637099	Agent - Casualty	3/30/2020
Active	Houchens Insurance Group, Inc.	637099	Agent - Property	3/30/2020
Denied	Houchens Insurance Group, Inc.	637099	Agent - Health
Denied	Houchens Insurance Group, Inc.	637099	Agent - Life