DEPARTMENT OF INSURANCE

Name	Church, W Scott	DOIID	353320	NAIC NPN	1486226

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/28/2006		4/30/2026
Active	Resident	Agent	Life	12/21/1994		4/30/2026
Active	Resident	Agent	Casualty	8/28/2006		4/30/2026
Active	Resident	Agent	Health	12/21/1994		4/30/2026
Inactive	Resident	Agent	Health Maintenance Organization	7/18/1997	3/1/2001
Active	Resident	Life & Health Consultant	Not Applicable	9/23/2013		4/30/2026

*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. 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	11420 Bluegrass Pkwy Louisville, KY 402992348
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 499-6880