DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dennis, Clint S	DOIID	977571	NAIC NPN	18614252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	12/5/2017		9/30/2026
Active	Resident	Agent	Property	12/5/2017		9/30/2026
Active	Resident	Agent	Life	1/3/2018		9/30/2026
Active	Resident	Agent	Health	1/2/2018		9/30/2026
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/13/2018	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/13/2018	12/20/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	3/16/2018
Active	Dairyland Insurance Company	301370	Agent - Property	3/16/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/13/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/13/2018
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	1/8/2018
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	1/8/2018
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	1/8/2018
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	1/8/2018
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	1/8/2018
Active	United Financial Casualty Company	301886	Agent - Casualty	3/14/2018
Active	United Financial Casualty Company	301886	Agent - Property	3/14/2018

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	1/9/2018	2/13/2025
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	1/8/2018
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	1/8/2018
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	1/8/2018
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	1/8/2018