DEPARTMENT OF INSURANCE

Name	Adams, Jerry	DOIID	1188392	NAIC NPN	20238696

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Life	3/1/2022		1/31/2025
Active	Resident	Agent	Health	4/5/2022		1/31/2025

*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	11/15/2024	01/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	787 Richards Road Bowling Green, KY 42104
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(270) 777-5660