DEPARTMENT OF INSURANCE
Affiliations
NameDavis, Micheal ClaytonDOIID1193362NAIC NPN20266508
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementResidentAgentCasualty4/19/2022 1/31/2026
Pending ReplacementResidentAgentHealth3/22/2022 1/31/2026
Pending ReplacementResidentAgentProperty4/19/2022 1/31/2026
Pending ReplacementResidentAgentLife3/22/2022 1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty6/15/20228/8/2024
InactiveAmerican Modern Home Insurance Company300791Agent - Property6/15/20228/8/2024
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty12/24/20238/8/2024
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property12/24/20238/8/2024
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/13/20238/16/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health4/13/20237/25/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health4/13/20237/25/2024
InactiveBristol West Insurance Company301655Agent - Casualty8/26/20228/31/2024
InactiveBristol West Insurance Company301655Agent - Property8/26/20228/31/2024
InactiveCompcare Health Services Insurance Corporation948751Agent - Health4/13/20237/25/2024
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/26/20228/31/2024
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/26/20228/31/2024
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Casualty5/1/20227/7/2024
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Health5/1/20227/7/2024
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Property5/1/20227/7/2024
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Health5/1/20227/7/2024
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Life5/1/20227/7/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Casualty5/1/20227/8/2024
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Life5/1/20227/8/2024
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Health5/1/20227/8/2024
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Property5/1/20227/8/2024

© Commonwealth of Kentucky. All rights reserved.