DEPARTMENT OF INSURANCE

Name	KY Employers Safety Association	DOIID	397902	NAIC NPN	7220597

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Adjuster	Independent	1/26/1995	11/20/1996

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Mailing	200 Executive Park Louisville, KY 40207
Business / Home Office	200 Executive Park Louisville, KY 40207