DEPARTMENT OF INSURANCE

Name	Bluegrass Collateral Services Inc	DOIID	697393	NAIC NPN	12827961

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	1/14/2009	3/31/2025
Active	Resident	Agent	Property	1/14/2009	3/31/2025
Active	Resident	Agent	Health	7/27/2012	3/31/2025
Active	Resident	Agent	Limited Line Credit	7/27/2012	3/31/2025
Active	Resident	Agent	Life	7/27/2012	3/31/2025

*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	01/15/2025	03/31/2025

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

Address Information

Type	Address
Business / Home Office	Po Box 127 400 Barnes Store RoadProvidence, KY 42450

Phone Information

Type	Phone
Business / Home Office	(270) 339-8181