DEPARTMENT OF INSURANCE

Name	Kentucky Public Entity Programs Inc	DOIID	400082	NAIC NPN	7222150

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	7/10/2013		3/31/2025
Active	Resident	Agent	Casualty	7/10/2013		3/31/2025
Active	Resident	Agent	Life	3/20/2014		3/31/2025
Active	Resident	Agent	Health	3/20/2014		3/31/2025
Inactive	Resident	Agent	General Lines	5/18/1987	8/15/2000
Inactive	Resident	Agent	Prepaid Dental Plan	11/15/1999	3/1/2001
Inactive	Resident	Agent	Health Maintenance Organization	7/7/1998	3/1/2001

*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	3104 Balsam Ct Edgewood, KY 410173375

Phone Information

Type	Phone
Business / Home Office	(859) 331-3734