DEPARTMENT OF INSURANCE
Affiliations
NameBanterra Insurance Services Inc.DOIID399663NAIC NPN2108035
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/26/2000 3/31/2026
ActiveNon ResidentAgentCasualty8/15/2000 3/31/2026
ActiveNon ResidentAgentProperty8/15/2000 3/31/2026
ActiveNon ResidentAgentHealth5/26/2000 3/31/2026
InactiveNon ResidentAgentCredit Life & Health1/28/19998/7/2000 
InactiveNon ResidentAgentGeneral Lines10/26/19998/15/2000 
InactiveNon ResidentAgentLimited Line Credit8/7/20001/16/2002 
* 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
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAMCO Insurance Company300204Agent - Casualty9/22/2016 
ActiveAMCO Insurance Company300204Agent - Property9/22/2016 
ActiveAllied Insurance Company of America793586Agent - Casualty9/22/2016 
ActiveAllied Insurance Company of America793586Agent - Property9/22/2016 
ActiveAllied Property and Casualty Insurance Company300279Agent - Casualty9/22/2016 
ActiveAllied Property and Casualty Insurance Company300279Agent - Property9/22/2016 
InactiveAllstate Indemnity Company300778Agent - Casualty7/10/20197/21/2022
InactiveAllstate Indemnity Company300778Agent - Property7/10/20197/21/2022
InactiveAllstate Insurance Company300773Agent - Casualty7/10/20197/21/2022
InactiveAllstate Insurance Company300773Agent - Property7/10/20197/21/2022
InactiveAllstate Property and Casualty Insurance Company300593Agent - Casualty7/10/20197/21/2022
InactiveAllstate Property and Casualty Insurance Company300593Agent - Property7/10/20197/21/2022
InactiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty7/10/20197/21/2022
InactiveAllstate Vehicle & Property Insurance Company301429Agent - Property7/10/20197/21/2022
ActiveAmerican Agri-Business Insurance Company634731Agent - Casualty3/15/2016 
ActiveAmerican Agri-Business Insurance Company634731Agent - Property3/15/2016 
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20193/29/2024
InactiveAmerican Economy Insurance Company300315Agent - General Lines12/27/19998/15/2000
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20193/29/2024
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health9/3/2014 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life9/3/2014 
InactiveAmerican Fire and Casualty Company300567Agent - Casualty10/16/20083/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property10/16/20083/29/2024
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty3/5/2019 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property3/5/2019 
ActiveAmerican National Insurance Company301861Agent - Life11/2/2017 
InactiveAmerican States Insurance Company301230Agent - Casualty8/15/20004/22/2002
InactiveAmerican States Insurance Company301230Agent - General Lines12/27/19998/15/2000
InactiveAmerican States Insurance Company301230Agent - Property8/15/20004/22/2002
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/6/200311/2/2016
InactiveAnthem Insurance Companies, Inc.300941Agent - Health10/6/200310/16/2012
DeniedAnthem Life Insurance Company301209Agent - Health  
InactiveAnthem Life Insurance Company301209Agent - Life5/26/200012/19/2016
DeniedAthene Annuity & Life Assurance Company of New York300724Agent - Life  
ActiveAuto-Owners Insurance Company301480Agent - Casualty1/3/2012 
ActiveAuto-Owners Insurance Company301480Agent - Property1/3/2012 
ActiveAuto-Owners Life Insurance Company301368Agent - Health1/9/2012 
ActiveAuto-Owners Life Insurance Company301368Agent - Life1/9/2012 
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty7/5/201812/9/2019
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property7/5/201812/9/2019
ActiveBanner Life Insurance Company301696Agent - Life10/4/2005 
InactiveBristol West Insurance Company301655Agent - Casualty11/14/201711/21/2019
InactiveBristol West Insurance Company301655Agent - Property11/14/201711/21/2019
InactiveColonial American Casualty & Surety Company300769Agent - Casualty10/31/20023/8/2004
InactiveColonial American Casualty & Surety Company300769Agent - Property10/31/20023/8/2004
InactiveConsolidated Insurance Company300943Agent - Casualty10/16/200810/13/2022
InactiveConsolidated Insurance Company300943Agent - Property10/16/200810/13/2022
ActiveDepositors Insurance Company301634Agent - Casualty9/22/2016 
ActiveDepositors Insurance Company301634Agent - Property9/22/2016 
ActiveEmpire Fire and Marine Insurance Company300666Agent - Casualty2/25/2008 
InactiveEmpire Fire and Marine Insurance Company300666Agent - Property2/25/20083/15/2013
InactiveEverest National Insurance Company301319Agent - Casualty2/9/20151/25/2018
InactiveEverest National Insurance Company301319Agent - Property2/9/20151/25/2018
InactiveFidelity and Deposit Company of Maryland300976Agent - Casualty10/31/20023/8/2004
InactiveFidelity and Deposit Company of Maryland300976Agent - Property10/31/20023/8/2004
InactiveFireman's Fund Insurance Company301423Agent - Property6/24/20053/15/2013
InactiveFirst National Insurance Company of America301690Agent - Casualty6/4/200410/13/2022
InactiveFirst National Insurance Company of America301690Agent - General Lines12/27/19998/15/2000
InactiveFirst National Insurance Company of America301690Agent - Property6/4/200410/13/2022
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty11/14/2017 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property11/14/2017 
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/14/20175/3/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/14/20175/3/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty11/14/20175/3/2018
InactiveForemost Signature Insurance Company300140Agent - Property11/14/20175/3/2018
InactiveGeneral Insurance Company of America300261Agent - Casualty6/4/20043/29/2024
InactiveGeneral Insurance Company of America300261Agent - General Lines12/27/19998/15/2000
InactiveGeneral Insurance Company of America300261Agent - Property6/4/20043/29/2024
InactiveHartford Accident and Indemnity Company301917Agent - Casualty4/2/200711/7/2008
InactiveHartford Accident and Indemnity Company301917Agent - Property4/2/200711/7/2008
InactiveHartford Casualty Insurance Company301332Agent - Casualty4/2/200711/7/2008
InactiveHartford Casualty Insurance Company301332Agent - Property4/2/200711/7/2008
InactiveHartford Fire Insurance Company300628Agent - Casualty4/2/200711/7/2008
InactiveHartford Fire Insurance Company300628Agent - Property4/2/200711/7/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty4/2/200711/7/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Property4/2/200711/7/2008
InactiveHartford Underwriters Insurance Company301064Agent - Casualty4/2/200711/7/2008
InactiveHartford Underwriters Insurance Company301064Agent - Property4/2/200711/7/2008
InactiveIndiana Insurance Company301909Agent - Casualty10/16/20082/3/2023
InactiveIndiana Insurance Company301909Agent - Property10/16/20082/3/2023
InactiveLincoln Benefit Life Company301110Agent - Health2/27/20047/14/2014
InactiveLincoln Benefit Life Company301110Agent - Life2/27/20047/14/2014
ActiveLincoln National Life Insurance Company (The)301382Agent - Health10/5/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life10/5/2007 
InactiveMutual of Omaha Insurance Company301012Agent - Health7/17/200812/26/2012
InactiveNational Western Life Insurance Company301515Agent - Life2/19/20027/21/2005
ActiveNationwide Agribusiness Insurance Company301008Agent - Casualty9/22/2016 
ActiveNationwide Agribusiness Insurance Company301008Agent - Property9/22/2016 
ActiveNationwide Assurance Company300166Agent - Casualty3/4/2020 
ActiveNationwide General Insurance Company300603Agent - Casualty8/28/2019 
ActiveNationwide General Insurance Company300603Agent - Property8/28/2019 
ActiveNationwide Insurance Company of America300333Agent - Casualty8/28/2019 
ActiveNationwide Insurance Company of America300333Agent - Property8/28/2019 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty9/22/2016 
ActiveNationwide Mutual Insurance Company301749Agent - Property9/22/2016 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty2/2/2022 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property2/2/2022 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty10/16/20085/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property10/16/20085/10/2024
ActiveNorth American Company for Life and Health Insurance300291Agent - Life1/31/2013 
InactiveOhio Casualty Insurance Company301492Agent - Casualty10/16/20083/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property10/16/20083/29/2024
InactiveOhio Security Insurance Company300622Agent - Casualty10/16/20083/29/2024
InactiveOhio Security Insurance Company300622Agent - Property10/16/20083/29/2024
InactiveOmaha Insurance Company751908Agent - Health8/15/20126/24/2013
ActiveOwners Insurance Company300796Agent - Casualty1/9/2012 
ActiveOwners Insurance Company300796Agent - Property1/9/2012 
ActivePalomar Specialty Insurance Company841441Agent - Casualty9/18/2024 
ActivePalomar Specialty Insurance Company841441Agent - Property9/18/2024 
InactivePeerless Indemnity Insurance Company571682Agent - Casualty10/16/20089/26/2024
InactivePeerless Indemnity Insurance Company571682Agent - Property10/16/20089/26/2024
InactivePeerless Insurance Company301910Agent - Casualty10/16/20085/8/2025
InactivePeerless Insurance Company301910Agent - Property10/16/20085/8/2025
InactivePekin Life Insurance Company300951Agent - Credit Life & Health1/28/19998/7/2000
InactivePekin Life Insurance Company300951Agent - Limited Line Credit8/7/20001/16/2002
InactivePrincipal Life Insurance Company300129Agent - Health2/17/200511/19/2009
InactivePrincipal Life Insurance Company300129Agent - Life2/17/200511/19/2009
ActiveProgressive Casualty Insurance Company300696Agent - Casualty3/24/2004 
ActiveProgressive Casualty Insurance Company300696Agent - Property3/24/2004 
InactiveProgressive Max Insurance Company301034Agent - Casualty4/23/20014/22/2002
InactiveProgressive Max Insurance Company301034Agent - Property4/23/20014/22/2002
InactiveProgressive Northern Insurance Company301378Agent - Casualty4/23/20014/22/2002
InactiveProgressive Northern Insurance Company301378Agent - Property4/23/20014/22/2002
InactiveProgressive Northwestern Insurance Company300441Agent - Casualty4/23/20014/22/2002
InactiveProgressive Northwestern Insurance Company300441Agent - Property4/23/20014/22/2002
InactiveRural Community Insurance Company301891Agent - Property1/22/20078/16/2019
InactiveSAFECO Insurance Company of America300159Agent - Casualty6/4/20043/29/2024
InactiveSAFECO Insurance Company of America300159Agent - General Lines10/26/19998/15/2000
InactiveSAFECO Insurance Company of America300159Agent - Property6/4/20043/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty6/4/20043/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property6/4/20043/29/2024
InactiveSentinel Insurance Company, Limited501696Agent - Casualty4/2/200711/7/2008
InactiveSentinel Insurance Company, Limited501696Agent - Property4/2/200711/7/2008
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty7/5/201812/9/2019
InactiveStandard Fire Insurance Company (The)301068Agent - Property7/5/201812/9/2019
InactiveThe Phoenix Insurance Company301502Agent - Casualty7/5/201812/9/2019
InactiveThe Phoenix Insurance Company301502Agent - Property7/5/201812/9/2019
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/5/201812/9/2019
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/5/201812/9/2019
ActiveTravelers Personal Insurance Company705785Agent - Casualty7/11/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property7/11/2019 
InactiveTwin City Fire Insurance Company300721Agent - Casualty4/2/200711/7/2008
InactiveTwin City Fire Insurance Company300721Agent - Property4/2/200711/7/2008
ActiveUnited Financial Casualty Company301886Agent - Casualty12/2/2005 
ActiveUnited Financial Casualty Company301886Agent - Property12/2/2005 
InactiveUnited World Life Insurance Company300532Agent - Health7/17/200812/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health7/17/200812/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life7/17/200812/26/2012
InactiveWest American Insurance Company301112Agent - Casualty10/16/20083/29/2024
InactiveWest American Insurance Company301112Agent - Property10/16/20083/29/2024
ActiveWestern Surety Company300283Agent - Casualty8/25/2004 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGrohovsky, Lawrence 304357Agent - Health5/26/20002/12/2003
InactiveGrohovsky, Lawrence 304357Agent - Life5/26/20002/12/2003
ActiveHaynes, Chris Alan 385835Agent - Health2/7/2007 
ActiveHaynes, Chris Alan 385835Agent - Life2/7/2007 
InactiveLeighty, Kent E 755810Agent - Health4/19/201312/22/2016
InactiveLeighty, Kent E 755810Agent - Life4/19/201312/22/2016
ActiveMorrison, Jody Neil 818623Agent - Casualty8/11/2015 
InactiveMorrison, Jody Neil 818623Agent - Health8/11/201512/22/2016
InactiveMorrison, Jody Neil 818623Agent - Life8/11/201512/22/2016
ActiveMorrison, Jody Neil 818623Agent - Property8/11/2015 
InactiveMurphy, Connie J. 511676Agent - Casualty2/14/20039/30/2019
InactiveMurphy, Connie J. 511676Agent - Health10/6/20039/30/2019
InactiveMurphy, Connie J. 511676Agent - Life10/6/20039/30/2019
InactiveMurphy, Connie J. 511676Agent - Property2/14/20039/30/2019
InactiveRice, Jerry Lee 543578Agent - Casualty3/26/200711/16/2007
InactiveRice, Jerry Lee 543578Agent - Property3/26/200711/16/2007
InactiveVarvel, Amanda 573122Agent - Life8/4/20102/1/2015
InactiveVinson, Evonda Lee 325948Agent - Credit Life & Health1/28/19998/7/2000
InactiveVinson, Evonda Lee 325948Agent - General Lines10/26/19998/15/2000
InactiveVinson, Evonda Lee 325948Agent - Health10/6/20031/5/2011
InactiveVinson, Evonda Lee 325948Agent - Life10/6/20031/22/2015
InactiveVinson, Evonda Lee 325948Agent - Limited Line Credit8/7/20001/16/2002
InactiveWilliams, J Mark 597460Agent - Casualty11/28/20162/10/2023
InactiveWilliams, J Mark 597460Agent - Health11/28/20162/10/2023
InactiveWilliams, J Mark 597460Agent - Life11/28/20162/10/2023
InactiveWilliams, J Mark 597460Agent - Property11/28/20162/10/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health7/17/200012/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life7/17/200012/31/2001

© Commonwealth of Kentucky. All rights reserved.