DEPARTMENT OF INSURANCE

Name	Raymond Nelson Insurance Agency Inc.	DOIID	398578	NAIC NPN	3007712

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/12/1991		3/31/2027
Active	Resident	Agent	Property	8/15/2000		3/31/2027
Active	Resident	Agent	Life	8/12/1991		3/31/2027
Active	Resident	Agent	Casualty	8/15/2000		3/31/2027
Inactive	Resident	Agent	General Lines	4/30/1991	8/15/2000

*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	02/04/2025	02/04/2025	Yes

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

Address Information

Type	Address
Business / Home Office	3205 Lafayette Road Hopkinsville, KY 42240

Phone Information

Type	Phone
Business / Home Office	(270) 885-1800