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DEPARTMENT OF INSURANCE
Affiliations
Name
The Insurance Store
DOIID
996527
NAIC NPN
18806776
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Property
3/20/2025
3/31/2026
Active
Resident
Agent
Casualty
3/31/2025
3/31/2026
Inactive
Resident
Agent
Health
6/4/2018
3/31/2020
Inactive
Resident
Agent
Life
6/4/2018
3/31/2020
Pending
Resident
Agent
Personal Lines
* 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 Property and Casualty Insurance Company
301954
Agent - Casualty
4/8/2025
Active
American Modern Property and Casualty Insurance Company
301954
Agent - Property
4/8/2025
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Randall, Kenneth Lee
377321
Agent - Casualty
3/31/2025
Inactive
Randall, Kenneth Lee
377321
Agent - Health
6/4/2018
3/31/2020
Inactive
Randall, Kenneth Lee
377321
Agent - Life
6/4/2018
3/31/2020
Active
Randall, Kenneth Lee
377321
Agent - Property
3/20/2025
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