DEPARTMENT OF INSURANCE

Name	Employers Risk Services	DOIID	401298	NAIC NPN	2877799

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Adjuster	Independent	7/27/1994	3/31/2008
Inactive	Resident	Administrator	Not Applicable	7/23/1997	3/31/2008
Inactive	Resident	Agent	Life	10/29/1998	9/6/2006
Inactive	Resident	Agent	General Lines	9/29/1998	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	9/6/2006
Inactive	Resident	Agent	Health	10/29/1998	9/6/2006
Inactive	Resident	Agent	Property	8/15/2000	9/6/2006
Inactive	Resident	Managing General Agent	Not Applicable	9/29/1998	3/31/2000

*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
Business / Home Office	1240 Fair Way Street P.O. Box 628Bowling Green, KY 421020628
Mailing	1240 Fair Way Street P.O. Box 628Bowling Green, KY 421020628