DEPARTMENT OF INSURANCE
Affiliations
NameSmith Tully, Emily AnneDOIID1201347NAIC NPN20312102
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentCasualty5/4/2022 12/31/2025
ActiveResidentAgentHealth5/25/2022 12/31/2025
ActiveResidentAgentProperty5/4/2022 12/31/2025
ActiveResidentAgentLife5/26/2022 12/31/2025
* 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
Agent10/15/202512/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Modern Home Insurance Company300791Agent - Casualty7/13/2022 
ActiveAmerican Modern Home Insurance Company300791Agent - Property7/13/2022 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/12/202212/16/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health6/14/20229/13/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/14/20229/13/2022
InactiveAnthem Life Insurance Company301209Agent - Health10/12/202212/16/2024
InactiveAnthem Life Insurance Company301209Agent - Life10/12/202212/16/2024
InactiveBristol West Insurance Company301655Agent - Casualty8/9/202212/20/2024
InactiveBristol West Insurance Company301655Agent - Property8/9/202212/20/2024
InactiveCompcare Health Services Insurance Corporation948751Agent - Health6/14/20229/13/2022
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/9/2022 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/9/2022 
ActiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Casualty6/1/2022 
ActiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Health6/1/2022 
ActiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Property6/1/2022 
ActiveSouthern Farm Bureau Life Insurance Company300909Agent - Health6/1/2022 
ActiveSouthern Farm Bureau Life Insurance Company300909Agent - Life6/1/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Casualty6/1/2022 
ActiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Life6/1/2022 
ActiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Health6/1/2022 
ActiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Property6/1/2022 

© Commonwealth of Kentucky. All rights reserved.