DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shouse, Lori Beth	DOIID	1035546	NAIC NPN	19093156

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	10/2/2023		11/30/2025
Active	Resident	Agent	Property	4/26/2019		11/30/2025
Active	Resident	Agent	Casualty	4/16/2019		11/30/2025
Active	Resident	Agent	Life	9/26/2023		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	11/7/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	11/7/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/12/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	2/12/2024	11/7/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/12/2024
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/7/2023
Active	Bristol West Insurance Company	301655	Agent - Property	12/7/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/12/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/7/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/7/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	11/1/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	11/1/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	11/1/2023
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	11/1/2023
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	11/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	11/7/2023
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	11/7/2023
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	11/1/2023
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	11/1/2023