DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bollinger, Penny M	DOIID	345571	NAIC NPN	1916453

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/26/2013	9/4/2018
Inactive	Non Resident	Agent	Life	3/26/2013	9/4/2018
Inactive	Non Resident	Agent	Health	3/26/2013	9/4/2018
Inactive	Non Resident	Agent	General Lines	9/18/1998	8/15/2000
Inactive	Non Resident	Agent	Property	3/26/2013	9/4/2018
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fortitude U.S. Reinsurance Company	301469	Agent - Life	4/15/2013	1/16/2014
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - Casualty	4/15/2013	4/27/2018
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - General Lines	9/18/1998	8/15/2000
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - Property	4/15/2013	4/27/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Property	5/23/2013	10/9/2014
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Casualty	5/23/2013	10/9/2014