DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jay Grundy Insurance, LLC	DOIID	1347192	NAIC NPN	21234002

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	6/26/2024		3/31/2026
Active	Resident	Agent	Life	6/26/2024		3/31/2026
Active	Resident	Agent	Property	6/26/2024		3/31/2026
Active	Resident	Agent	Health	6/26/2024		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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/22/2024
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	8/22/2024
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/22/2024
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	8/22/2024
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	8/22/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Grundy, James C	1205491	Agent - Casualty	6/26/2024
Active	Grundy, James C	1205491	Agent - Health	6/26/2024
Active	Grundy, James C	1205491	Agent - Life	6/26/2024
Active	Grundy, James C	1205491	Agent - Property	6/26/2024