DEPARTMENT OF INSURANCE
Affiliations
NameBna Insurance Group, LLCDOIID1010381NAIC NPN18904359
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/19/2018 3/31/2026
ActiveNon ResidentAgentCasualty9/19/2018 3/31/2026
ActiveNon ResidentAgentLife9/19/2018 3/31/2026
ActiveNon ResidentAgentProperty9/19/2018 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Active1842 Insurance Company1357117Agent - Casualty4/7/2025 
Active1842 Insurance Company1357117Agent - Property4/7/2025 
ActiveAllmerica Financial Alliance Insurance Company300823Agent - Casualty10/1/2018 
ActiveAllmerica Financial Alliance Insurance Company300823Agent - Property10/1/2018 
ActiveAllmerica Financial Benefit Insurance Company301223Agent - Casualty10/1/2018 
ActiveAllmerica Financial Benefit Insurance Company301223Agent - Property10/1/2018 
InactiveAmGUARD Insurance Company500010Agent - Casualty11/25/20199/2/2024
InactiveAmGUARD Insurance Company500010Agent - Property11/25/20199/2/2024
ActiveAmTrust Insurance Company300179Agent - Casualty5/30/2019 
ActiveAmTrust Insurance Company300179Agent - Property5/30/2019 
ActiveAmerican Contractors Indemnity Company536843Agent - Casualty2/5/2019 
ActiveAmerican Economy Insurance Company300315Agent - Casualty12/10/2024 
ActiveAmerican Economy Insurance Company300315Agent - Property12/10/2024 
ActiveAmerican Select Insurance Company301229Agent - Casualty9/24/2020 
ActiveAmerican Select Insurance Company301229Agent - Property9/24/2020 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty6/26/2024 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property6/26/2024 
ActiveBenchmark Insurance Company300374Agent - Casualty7/1/2019 
ActiveBenchmark Insurance Company300374Agent - Property7/1/2019 
ActiveBrickStreet Mutual Insurance Company709251Agent - Casualty4/30/2020 
InactiveBristol West Insurance Company301655Agent - Casualty11/22/201912/20/2024
InactiveBristol West Insurance Company301655Agent - Property11/22/201912/20/2024
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty3/27/202311/26/2024
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property3/27/202311/26/2024
ActiveClearPath Insurance Company979815Agent - Casualty6/20/2024 
InactiveEncova Life Insurance Company301818Agent - Life12/8/20211/1/2024
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty1/8/202112/29/2021
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property1/8/202112/29/2021
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty1/8/20214/26/2022
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property1/8/20214/26/2022
ActiveFarmington Casualty Company301137Agent - Casualty10/6/2021 
ActiveFarmington Casualty Company301137Agent - Property10/6/2021 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty11/22/2019 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property11/22/2019 
ActiveGrange Indemnity Insurance Company300793Agent - Casualty8/13/2019 
ActiveGrange Indemnity Insurance Company300793Agent - Property8/13/2019 
ActiveGrange Insurance Company300234Agent - Casualty8/13/2019 
ActiveGrange Insurance Company300234Agent - Property8/13/2019 
ActiveGrange Property & Casualty Insurance Company601680Agent - Casualty8/13/2019 
ActiveGrange Property & Casualty Insurance Company601680Agent - Property8/13/2019 
ActiveGreat American Insurance Company301586Agent - Casualty2/17/2022 
ActiveGreat American Insurance Company301586Agent - Property2/17/2022 
ActiveHanover American Insurance Company (The)300447Agent - Casualty10/1/2018 
ActiveHanover American Insurance Company (The)300447Agent - Property10/1/2018 
ActiveHanover Insurance Company (The)300508Agent - Casualty10/1/2018 
ActiveHanover Insurance Company (The)300508Agent - Property10/1/2018 
ActiveHartford Insurance Company of the Midwest301918Agent - Casualty10/29/2024 
ActiveHartford Insurance Company of the Midwest301918Agent - Property10/29/2024 
InactiveHartford Insurance Company of the Southeast1014204Agent - Casualty4/28/20217/18/2023
InactiveHartford Insurance Company of the Southeast1014204Agent - Property4/28/20217/18/2023
ActiveHartford Underwriters Insurance Company301064Agent - Casualty10/31/2021 
ActiveHartford Underwriters Insurance Company301064Agent - Property10/31/2021 
ActiveInsurance Company of the West301520Agent - Casualty11/16/2018 
ActiveInsurance Company of the West301520Agent - Property11/16/2018 
ActiveMICO Insurance Company301664Agent - Casualty10/28/2021 
ActiveMICO Insurance Company301664Agent - Property10/28/2021 
ActiveMarkel Insurance Company301475Agent - Casualty4/4/2022 
ActiveMarkel Insurance Company301475Agent - Property4/4/2022 
ActiveMassachusetts Bay Insurance Company300898Agent - Casualty10/1/2018 
ActiveMassachusetts Bay Insurance Company300898Agent - Property10/1/2018 
ActiveMilford Casualty Insurance Company301460Agent - Casualty5/30/2019 
ActiveMilford Casualty Insurance Company301460Agent - Property5/30/2019 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Casualty1/22/2020 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Property1/22/2020 
InactiveNorGUARD Insurance Company500015Agent - Casualty3/17/20219/2/2024
ActiveNorthStone Insurance Company818905Agent - Casualty4/30/2020 
ActiveOhio Casualty Insurance Company301492Agent - Casualty11/12/2024 
ActiveOhio Casualty Insurance Company301492Agent - Property11/12/2024 
ActiveOhio Security Insurance Company300622Agent - Casualty2/1/2025 
ActiveOhio Security Insurance Company300622Agent - Property2/1/2025 
ActiveOld Republic Insurance Company301225Agent - Casualty6/28/2023 
ActivePan-American Life Insurance Company301530Agent - Life1/1/2024 
ActivePark National Insurance Company692514Agent - Casualty5/30/2019 
ActivePark National Insurance Company692514Agent - Property5/30/2019 
ActivePinnaclePoint Insurance Company819085Agent - Casualty4/30/2020 
ActivePlaza Insurance Company300748Agent - Casualty3/4/2022 
ActivePlaza Insurance Company300748Agent - Property3/4/2022 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty7/5/2020 
ActiveProgressive Casualty Insurance Company300696Agent - Property7/5/2020 
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Casualty7/3/2024 
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Property7/3/2024 
InactiveSAFECO Insurance Company of America300159Agent - Casualty4/27/20203/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property4/27/20203/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty4/27/20203/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property4/27/20203/29/2024
ActiveSecurity National Insurance Company301151Agent - Casualty5/30/2019 
ActiveSecurity National Insurance Company301151Agent - Property5/30/2019 
ActiveSentinel Insurance Company, Limited501696Agent - Casualty1/11/2023 
ActiveSentinel Insurance Company, Limited501696Agent - Property1/11/2023 
ActiveSequoia Insurance Company628046Agent - Casualty5/5/2020 
ActiveSequoia Insurance Company628046Agent - Property5/5/2020 
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty3/27/202311/26/2024
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property3/27/202311/26/2024
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty6/26/2024 
ActiveStandard Fire Insurance Company (The)301068Agent - Property6/26/2024 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty6/16/2021 
ActiveState Automobile Mutual Insurance Company301824Agent - Property6/16/2021 
ActiveSummitPoint Insurance Company819084Agent - Casualty4/30/2020 
ActiveTechnology Insurance Company613278Agent - Casualty5/30/2019 
ActiveTechnology Insurance Company613278Agent - Property5/30/2019 
InactiveThe Phoenix Insurance Company301502Agent - Casualty3/27/202311/26/2024
InactiveThe Phoenix Insurance Company301502Agent - Property3/27/202311/26/2024
ActiveTravelers Casualty Insurance Company of America300522Agent - Casualty4/28/2023 
ActiveTravelers Casualty Insurance Company of America300522Agent - Property4/28/2023 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty6/14/2023 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property6/14/2023 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty6/26/2024 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property6/26/2024 
ActiveTravelers Indemnity Company (The)301855Agent - Casualty3/27/2023 
ActiveTravelers Indemnity Company (The)301855Agent - Property3/27/2023 
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty9/6/202111/16/2023
InactiveTravelers Indemnity Company of America (The)301093Agent - Property9/6/202111/16/2023
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty3/27/202311/26/2024
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property3/27/202311/26/2024
ActiveTravelers Personal Insurance Company705785Agent - Casualty4/26/2021 
ActiveTravelers Personal Insurance Company705785Agent - Property4/26/2021 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty10/11/2021 
ActiveTravelers Property Casualty Company of America301649Agent - Property10/11/2021 
ActiveTrumbull Insurance Company300242Agent - Casualty2/20/2024 
ActiveTrumbull Insurance Company300242Agent - Property2/20/2024 
ActiveTrustgard Insurance Company300104Agent - Casualty8/13/2019 
ActiveTrustgard Insurance Company300104Agent - Property8/13/2019 
ActiveU.S. Specialty Insurance Company300186Agent - Casualty2/5/2019 
ActiveU.S. Specialty Insurance Company300186Agent - Property2/5/2019 
ActiveUnited Financial Casualty Company301886Agent - Casualty7/5/2020 
ActiveUnited Financial Casualty Company301886Agent - Property7/5/2020 
ActiveVerlan Fire Insurance Company517102Agent - Casualty10/1/2018 
ActiveVerlan Fire Insurance Company517102Agent - Property10/1/2018 
ActiveWesco Insurance Company300534Agent - Casualty5/30/2019 
ActiveWesco Insurance Company300534Agent - Property5/30/2019 
ActiveWestern Surety Company300283Agent - Casualty2/10/2020 
ActiveWestfield Insurance Company301950Agent - Casualty9/24/2020 
ActiveWestfield Insurance Company301950Agent - Property9/24/2020 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGriffith, Crystal Dawn 524129Agent - Casualty7/12/2024 
ActiveGriffith, Crystal Dawn 524129Agent - Health7/12/2024 
InactiveGriffith, Crystal Dawn 524129Agent - Life7/12/20244/15/2025
ActiveGriffith, Crystal Dawn 524129Agent - Property7/12/2024 
ActiveMelton, Jamie Glenna 366525Agent - Casualty7/12/2024 
ActiveMelton, Jamie Glenna 366525Agent - Health7/12/2024 
InactiveMelton, Jamie Glenna 366525Agent - Life10/2/20242/18/2025
ActiveMelton, Jamie Glenna 366525Agent - Property7/12/2024 
ActiveOchoa, Roberto J 1290790Agent - Casualty7/12/2024 
DeniedOchoa, Roberto J 1290790Agent - Life  
ActiveOchoa, Roberto J 1290790Agent - Property7/12/2024 
ActiveThompson, Timothy W 1146413Agent - Casualty7/12/2024 
ActiveThompson, Timothy W 1146413Agent - Health7/12/2024 
ActiveThompson, Timothy W 1146413Agent - Life7/12/2024 
ActiveThompson, Timothy W 1146413Agent - Property7/12/2024 
ActiveWiatr, David Michael 766744Agent - Casualty9/19/2018 
ActiveWiatr, David Michael 766744Agent - Health9/19/2018 
ActiveWiatr, David Michael 766744Agent - Life9/19/2018 
ActiveWiatr, David Michael 766744Agent - Property9/19/2018 
ActiveYoerg, Ashley 809405Agent - Casualty7/12/2024 
ActiveYoerg, Ashley 809405Agent - Property7/12/2024 

© Commonwealth of Kentucky. All rights reserved.