DEPARTMENT OF INSURANCE

Agent Licensing - Continuing Education Information

Name	Hornback, Dylan Alexander	DOIID	857253	NAIC NPN	17400703

If a course you have completed is not listed below, please contact your CE Provider to validate that you have completed it properly, and it has been sent to the Kentucky Department of Insurance (DOI). All CE Courses received by DOI are posted on the web site within (3) working days. IT IS YOUR RESPONSIBILITY TO MONITOR AND VERIFY ALL CE COURSES HAVE BEEN PROPERLY FILED WITH DOI. Failure to do so may result in license expiration.

UPDATE FOR KENTUCKY RESIDENT LICENSEES AND NON-RESIDENT ADJUSTERS DESIGNATING KENTUCKY AS THEIR HOME STATE:

IF YOU ARE NEWLY LICENSED, compliance period begins after you are licensed for one full year, then you are subject to renewal based on your birth month and birth year. Example: John Doe – DOB is 4/12/1960, Licensed on 4/30/2017. Licensed from April 2017 to April 2018, birth month is April, and birth year is even-numbered year. Therefore, first license renewal (and CE) is due on 4/30/2018. Then compliance period will be due 4/30 of every even-numbered year.
Each compliance period, you must complete –

Minimum of 24 hours total continuing education credit, up to twelve (12) excess hours will be carried over to the next compliance period as 'general' hours.
Three (3) of those hours in course concentration of 'Ethics' for Agents, Independent Adjusters, and Public Adjusters,

There is no longer a 'classroom' requirement, so your courses may be completed by self-study, correspondence, or classroom.
REMINDER - Continuing Education is only HALF of your License Renewal Requirement – be sure to complete the license renewal through eServices by answering three (3) background questions, reporting any applicable background issues to DOI, and pay any applicable fees.
Agents - License renewal fees are only charged when you have no active insurer appointments. You must be appointed in Kentucky to sell, solicit and negotiate insurance for each insurer. If renewed within the 60-days following the renewal date, a penalty fee of $40 is applied for resident agents, or $50 for non-resident agents.
Adjusters’ license renewal fee is $50. If paid within the 60-days following the renewal date, a penalty fee of $50 is applied.

Agent CE Compliance by: Extension Date :

CE Compliance Date	Ethics Hours	Ethics Complete	LOA Hours	LOA Complete	Class Carryover	Class Hours Biennium	Class Complete	Corr. Carryover	Corr Hours	Total Carryover hours	Total CE Hours	Compliant This Period
7/31/2027	0	No	0	Yes	0	0	N/A	0	0	0	0	No
7/31/2025	0	No	2	Yes	6	2	N/A	6	0	12	14	No
7/31/2023	3	Yes	53	Yes	0	18	N/A	4	47	4	69	Yes
7/31/2021	4	Yes	24	Yes	0	0	N/A	0	28	0	28	Yes

Course #	Course Concentration	KY Provider Name	Completion Date	Method of Instruction	Credit Hours	Compliance Date
Agency Manager Orientation - C05130	Life, Health, Property & Casualty	Kentucky Farm Bureau Mutual Insurance Company	1/22/2025	Classroom	2	7/31/2025
Life Insurance Plans & Policies - C11939	Life and Health	A.D. Banker & Company, LLC	6/1/2023	Correspondence	12	7/31/2023
Agency Claim Processing Systems Training (CBT) - C15695	Casualty	Kentucky Farm Bureau Mutual Insurance Company	5/23/2023	Correspondence	2	7/31/2023
Identity Theft & Anti-Money Laundering - C62848	General Insurance Principles	A.D. Banker & Company, LLC	5/16/2023	Correspondence	9	7/31/2023
Ethics: Delivering on the Promise - C11898	Ethics	A.D. Banker & Company, LLC	5/2/2023	Correspondence	3	7/31/2023
Kentucky Farm Bureau Farm and Farmowner-contract - C94630	Property and Casualty	Kentucky Farm Bureau Mutual Insurance Company	2/8/2023	Classroom	6	7/31/2023
KFB Homeowner & Mobile Home Contract 101 - C15652	Property and Casualty	Kentucky Farm Bureau Mutual Insurance Company	2/7/2023	Classroom	6	7/31/2023
Intro to KY Farm Bureau Auto-Contract & Undwrt 101 - C15622	Property and Casualty	Kentucky Farm Bureau Mutual Insurance Company	1/17/2023	Classroom	6	7/31/2023
Mobile Home 101 CBT - C98926	Property and Casualty	Kentucky Farm Bureau Mutual Insurance Company	1/12/2023	Correspondence	4	7/31/2023
Boat 101 CBT - C98396	Property and Casualty	Kentucky Farm Bureau Mutual Insurance Company	1/12/2023	Correspondence	4	7/31/2023
HO 101 CBT - C97733	Property and Casualty	Kentucky Farm Bureau Mutual Insurance Company	1/10/2023	Correspondence	4	7/31/2023
Automobile Insurance 101 CBT - C05131	Property and Casualty	Kentucky Farm Bureau Mutual Insurance Company	10/11/2022	Correspondence	4	7/31/2023
Motorcycle 101 CBT - C24280	Property and Casualty	Kentucky Farm Bureau Mutual Insurance Company	10/10/2022	Correspondence	4	7/31/2023
First Notice of Loss 101 CBT - C17608	Property and Casualty	Kentucky Farm Bureau Mutual Insurance Company	10/6/2022	Correspondence	1	7/31/2023
Ethics in Action - C78108	Ethics	A.D. Banker & Company, LLC	6/19/2021	Correspondence	3	7/31/2021
AML 1 HOUR OVERVIEW - C20620	Ethics	A.D. Banker & Company, LLC	6/19/2021	Correspondence	1	7/31/2021
4 Hour Annuity Suitability - C95318	Annuity Suitability	A.D. Banker & Company, LLC	6/18/2021	Correspondence	4	7/31/2021
Long-Term Care Policies & Partnership - C20567	Long Term Care Partnership Act	A.D. Banker & Company, LLC	6/1/2021	Correspondence	8	7/31/2021
Life Insurance Plans & Policies - C11939	Life and Health	A.D. Banker & Company, LLC	5/13/2021	Correspondence	12	7/31/2021