DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Douglas, Kelly Mcindoo	DOIID	1070070	NAIC NPN	19390847

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	1/21/2020		1/31/2026
Active	Resident	Agent	Life	2/4/2020		1/31/2026
Active	Resident	Agent	Health	2/6/2020		1/31/2026
Active	Resident	Agent	Property	1/21/2020		1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2025	01/31/2026

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	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/22/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/22/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/8/2020	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/8/2020	12/20/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/22/2025
Active	Dairyland Insurance Company	301370	Agent - Casualty	7/23/2020
Active	Dairyland Insurance Company	301370	Agent - Property	7/23/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/8/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/8/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	2/24/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	2/24/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	2/24/2020
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	2/22/2021
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	2/22/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Designated Agent Company Inc.	681257	Agent - Life
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/1/2020	10/5/2021
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	5/27/2020
Denied	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	5/27/2020
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	5/27/2020