DEPARTMENT OF INSURANCE
Affiliations
NameKentucky Hospital Service Company of Kentucky, LLC
DBA : KHA Solutions Group
DOIID401254NAIC NPN7146236
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAdministratorNot Applicable7/18/19891/1/2020 
ActiveResidentAgentHealth9/13/1988 3/31/2026
ActiveResidentAgentProperty8/15/2000 3/31/2026
ActiveResidentAgentCasualty8/15/2000 3/31/2026
ActiveResidentAgentLife9/13/1988 3/31/2026
InactiveResidentAgentGeneral Lines6/24/19888/15/2000 
InactiveResidentAgentPrepaid Dental Plan10/11/19893/1/2001 
InactiveResidentAgentNon-profit Health Service10/21/19993/1/2001 
InactiveResidentAgentHealth Maintenance Organization6/17/19993/1/2001 
* 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
Inactive5 Star Life Insurance Company300673Agent - Life4/1/200412/30/2014
ActiveACE American Insurance Company300625Agent - Health4/28/2015 
InactiveADENTA, Inc.301437Agent - Health3/1/20017/15/2002
InactiveADENTA, Inc.301437Agent - Prepaid Dental Plan9/16/19983/1/2001
ActiveARAG Insurance Company549389Agent - Casualty2/12/2021 
InactiveAetna Health Inc.300694Agent - Health12/21/200512/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20079/23/2010
InactiveAetna Life Insurance Company301140Agent - Health2/19/19999/23/2010
InactiveAetna Life Insurance Company301140Agent - Life2/19/19999/23/2010
ActiveAmerican Automobile Insurance Company300953Agent - Casualty4/30/2003 
ActiveAmerican Automobile Insurance Company300953Agent - Property4/30/2003 
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines4/15/199612/31/1999
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health7/8/2015 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life7/8/2015 
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health9/13/198812/27/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life9/13/198812/27/2012
InactiveAmerican Heritage Life Insurance Company300272Agent - Health12/21/20154/26/2025
InactiveAmerican Heritage Life Insurance Company300272Agent - Life12/21/20154/26/2025
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - Casualty8/15/20005/31/2003
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - General Lines6/25/19988/15/2000
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - Property8/15/20005/31/2003
InactiveAmerican Motorists Insurance Company301212Agent - Casualty8/15/20005/31/2003
InactiveAmerican Motorists Insurance Company301212Agent - General Lines6/25/19988/15/2000
InactiveAmerican Motorists Insurance Company301212Agent - Property8/15/20005/31/2003
InactiveAmerican National Insurance Company301861Agent - Health5/30/200111/4/2022
InactiveAmerican National Insurance Company301861Agent - Life5/30/20016/2/2021
ActiveAmerican United Life Insurance Company300498Agent - Health11/26/1996 
ActiveAmerican United Life Insurance Company300498Agent - Life11/26/1996 
InactiveAmeritas Life Insurance Corporation300126Agent - Health4/7/199710/23/2006
InactiveAmeritas Life Insurance Corporation300126Agent - Life4/7/199710/23/2006
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health2/5/20023/31/2025
InactiveAnthem Insurance Companies, Inc.300941Agent - Health2/5/200210/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health11/2/19943/31/2025
InactiveAnthem Life Insurance Company301209Agent - Life11/2/19943/31/2025
InactiveAvemco Insurance Company300669Agent - Health6/28/200110/23/2002
InactiveBaltimore Life Insurance Company300286Agent - Health3/19/20022/20/2003
InactiveBaltimore Life Insurance Company300286Agent - Life3/19/20022/20/2003
InactiveBaptist Health Plan, Inc.300157Agent - Health10/12/20043/31/2019
InactiveBerkshire Life Insurance Company of America300983Agent - Health1/25/201311/9/2015
InactiveBerkshire Life Insurance Company of America300983Agent - Life1/25/201311/9/2015
InactiveCHA HMO, Inc.300662Agent - Health2/1/200212/10/2012
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty8/15/200012/9/2019
InactiveCharter Oak Fire Insurance Company (The)301501Agent - General Lines1/22/19988/15/2000
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property8/15/200012/9/2019
ActiveCitizens Security Life Insurance Company301257Agent - Health5/22/1992 
ActiveCitizens Security Life Insurance Company301257Agent - Life5/22/1992 
InactiveClearPath Insurance Company979815Agent - Casualty1/1/20181/10/2025
ActiveColonial Life and Accident Insurance Company300846Agent - Health10/6/1993 
ActiveColonial Life and Accident Insurance Company300846Agent - Life10/6/1993 
ActiveCombined Insurance Company of America301472Agent - Health5/7/2014 
ActiveCombined Insurance Company of America301472Agent - Life5/7/2014 
InactiveCompBenefits Dental, Inc.591692Agent - Health12/14/201512/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health9/17/20096/26/2013
InactiveCompBenefits Insurance Company301864Agent - Life9/17/20096/26/2013
InactiveCompDent Corporation301387Agent - Health3/31/200312/23/2004
InactiveCompDent Corporation301387Agent - Prepaid Dental Plan10/11/19893/31/1997
ActiveCompanion Life Insurance Company300191Agent - Health7/8/2010 
ActiveCompanion Life Insurance Company300191Agent - Life7/8/2010 
ActiveContinental American Insurance Company301700Agent - Health4/30/2012 
ActiveContinental American Insurance Company301700Agent - Life4/30/2012 
InactiveContinental Casualty Company301019Agent - Casualty8/15/200012/27/2001
InactiveContinental Casualty Company301019Agent - General Lines4/15/19968/15/2000
InactiveContinental Casualty Company301019Agent - Property8/15/200012/27/2001
InactiveDearborn Life Insurance Company300401Agent - Health12/31/200412/28/2009
InactiveDearborn Life Insurance Company300401Agent - Life12/31/200412/28/2009
InactiveDelta Dental of Kentucky, Inc.301166Agent - Health3/1/20012/7/2007
InactiveDelta Dental of Kentucky, Inc.301166Agent - Non-profit Health Service10/21/19993/1/2001
InactiveDental Concern Inc. (The)301641Agent - Health11/20/201712/19/2019
InactiveDentiCare, Inc.300655Agent - Health10/21/200311/1/2005
InactiveFarmington Casualty Company301137Agent - Casualty10/21/200212/9/2009
InactiveFarmington Casualty Company301137Agent - Property10/21/200212/9/2009
ActiveFederal Insurance Company301144Agent - Casualty1/25/2007 
ActiveFederal Insurance Company301144Agent - Health1/25/2007 
ActiveFederal Insurance Company301144Agent - Property1/25/2007 
ActiveFidelity Security Life Insurance Company300466Agent - Health11/7/2005 
ActiveFidelity Security Life Insurance Company300466Agent - Life11/7/2005 
ActiveFidelity and Deposit Company of Maryland300976Agent - Casualty8/15/2000 
InactiveFidelity and Deposit Company of Maryland300976Agent - General Lines4/4/19908/15/2000
ActiveFidelity and Deposit Company of Maryland300976Agent - Property8/15/2000 
InactiveGeneral American Life Insurance Company300280Agent - Health5/9/19954/21/1999
InactiveGeneral American Life Insurance Company300280Agent - Life5/9/19954/21/1999
InactiveGuarantee Life Insurance Company301560Agent - Health10/1/19969/8/2000
InactiveGuarantee Life Insurance Company301560Agent - Life10/1/19969/8/2000
InactiveGuardian Life Insurance Company of America301316Agent - Health11/24/199710/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Life11/24/199710/5/2021
InactiveHCC Life Insurance Company301827Agent - Health6/25/200110/23/2002
InactiveHCC Life Insurance Company301827Agent - Life6/25/200110/23/2002
InactiveHM Life Insurance Company301408Agent - Health12/11/200910/24/2017
InactiveHM Life Insurance Company301408Agent - Life12/11/200910/24/2017
InactiveHartford Life and Accident Insurance Company300878Agent - Health12/10/19996/13/2017
InactiveHartford Life and Accident Insurance Company300878Agent - Life12/10/19996/13/2017
InactiveHealth Resources Inc.301210Agent - Health3/1/200112/17/2018
InactiveHealth Resources Inc.301210Agent - Prepaid Dental Plan8/3/19983/1/2001
InactiveHealthcare Underwriters Group Insurance Company of Kentucky, Inc.582377Agent - Casualty2/7/20061/8/2015
InactiveHealthcare Underwriters Group, Inc,863144Agent - Casualty1/8/20153/8/2018
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/22/20166/15/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health12/26/20162/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health12/22/201612/19/2019
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization6/17/19993/1/2001
InactiveHumana Insurance Company301104Agent - Health11/20/20174/7/2020
InactiveHumana Insurance Company301104Agent - Life11/20/20174/7/2020
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/17/201812/19/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Life12/17/201812/19/2019
InactiveHumana Medical Plan, Inc.801568Agent - Health12/22/20166/15/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/5/20166/15/2018
InactiveHumanaDental Insurance Company301457Agent - Health1/21/20042/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life1/21/20042/23/2012
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health9/8/20007/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life9/8/20007/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health11/4/19984/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life11/4/19984/2/2007
InactiveKanawha Insurance Company300127Agent - Health7/7/201510/22/2015
InactiveKanawha Insurance Company300127Agent - Life7/7/201510/22/2015
InactiveKentucky Health Cooperative, Inc.798780Agent - Health11/5/201310/29/2015
InactiveKentucky Home Life Insurance Company300477Agent - Health12/1/199810/29/2001
InactiveKentucky Home Life Insurance Company300477Agent - Life12/1/199810/29/2001
ActiveKentucky Hospital Insurance Company RRG573734Agent - Casualty9/10/2003 
InactiveKey Risk Insurance Company630687Agent - Casualty10/30/20091/4/2013
InactiveKey Risk Insurance Company630687Agent - Property10/30/20091/4/2013
ActiveLife Insurance Company of North America300711Agent - Health7/23/2010 
ActiveLife Insurance Company of North America300711Agent - Life7/23/2010 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health4/2/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life4/2/2007 
InactiveLumbermens Mutual Casualty Company301119Agent - Casualty8/15/20005/31/2003
InactiveLumbermens Mutual Casualty Company301119Agent - General Lines2/6/19988/15/2000
InactiveLumbermens Mutual Casualty Company301119Agent - Property8/15/20005/31/2003
InactiveMHA Insurance Company620475Agent - Casualty12/2/200512/31/2017
InactiveMedical Life Insurance Company300693Agent - Health12/17/199612/31/2004
InactiveMedical Life Insurance Company300693Agent - Life12/17/199612/31/2004
InactiveMedical Protective Company (The)301207Agent - Casualty12/13/20013/1/2005
InactiveMedical Protective Company (The)301207Agent - Property12/13/20013/1/2005
InactiveMetropolitan Life Insurance Company301948Agent - Health5/26/200511/26/2009
InactiveMetropolitan Life Insurance Company301948Agent - Life5/26/200511/26/2009
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines4/15/199612/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Health4/22/19943/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Life4/22/19943/31/1999
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty8/15/2000 
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - General Lines6/24/19888/15/2000
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health1/3/2002 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property8/15/2000 
ActiveObsidian Insurance Company301819Agent - Casualty11/14/2022 
ActiveObsidian Insurance Company301819Agent - Health11/14/2022 
ActiveObsidian Insurance Company301819Agent - Property11/14/2022 
ActiveProSelect Insurance Company826988Agent - Casualty12/31/2017 
InactiveProtective Life Insurance Company300638Agent - Health11/18/199712/13/2010
InactiveProtective Life Insurance Company300638Agent - Life11/18/199712/13/2010
InactiveProvident Life and Accident Insurance Company301525Agent - Health11/16/201710/8/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Life11/16/201710/8/2021
ActiveReliance Standard Life Insurance Company300584Agent - Health12/3/1992 
ActiveReliance Standard Life Insurance Company300584Agent - Life12/3/1992 
ActiveSafety National Casualty Corporation300390Agent - Casualty9/13/2007 
InactiveSafety National Casualty Corporation300390Agent - General Lines7/7/19948/15/2000
ActiveSafety National Casualty Corporation300390Agent - Property9/13/2007 
InactiveSecurity Life Insurance Company of America300936Agent - Health3/30/19891/22/2003
InactiveSecurity Life Insurance Company of America300936Agent - Life3/30/19891/22/2003
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty10/1/2019 
ActiveSelective Insurance Company of the Southeast300381Agent - Property10/1/2019 
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty10/11/200412/14/2016
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property10/11/200412/14/2016
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty10/11/200412/9/2009
InactiveSt. Paul Guardian Insurance Company301372Agent - Property10/11/200412/9/2009
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty10/11/200412/9/2009
InactiveSt. Paul Mercury Insurance Company300783Agent - Property10/11/200412/9/2009
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty7/5/2016 
ActiveStandard Fire Insurance Company (The)301068Agent - Property7/5/2016 
InactiveStandard Insurance Company300185Agent - Health8/10/200012/5/2022
InactiveStandard Insurance Company300185Agent - Life8/10/200012/5/2022
InactiveStandard Security Life Insurance Company of NY301487Agent - Health12/4/19991/11/2010
InactiveStandard Security Life Insurance Company of NY301487Agent - Life12/4/19991/11/2010
InactiveStarNet Insurance Company502746Agent - Casualty2/2/20121/4/2013
InactiveStarNet Insurance Company502746Agent - Property2/2/20121/4/2013
InactiveStarmount Life Insurance Company628031Agent - Health11/16/201710/8/2021
ActiveSun Life Assurance Company of Canada301811Agent - Health6/19/1990 
ActiveSun Life Assurance Company of Canada301811Agent - Life6/19/1990 
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health8/4/200010/30/2009
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life8/4/200010/30/2009
InactiveThe Phoenix Insurance Company301502Agent - Casualty8/15/200011/30/2017
InactiveThe Phoenix Insurance Company301502Agent - General Lines1/22/19988/15/2000
InactiveThe Phoenix Insurance Company301502Agent - Property8/15/200011/30/2017
InactiveTime Insurance Company300683Agent - Health6/4/19999/13/2007
InactiveTime Insurance Company300683Agent - Life6/4/19999/13/2007
InactiveTransamerica Assurance Company300893Agent - Health5/24/200410/1/2004
InactiveTransamerica Assurance Company300893Agent - Life5/24/200410/1/2004
ActiveTransamerica Life Insurance Company300571Agent - Health5/24/2004 
ActiveTransamerica Life Insurance Company300571Agent - Life5/24/2004 
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health8/22/200310/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life8/22/200310/1/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Health2/25/19993/8/2005
InactiveTransamerica Premier Life Insurance Company300558Agent - Life2/25/19993/8/2005
InactiveTranscontinental Insurance Company301731Agent - General Lines4/15/199612/31/1999
InactiveTransportation Insurance Company301575Agent - General Lines4/15/199612/31/1999
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty7/5/201611/30/2017
InactiveTravelers Casualty Insurance Company of America300522Agent - Property7/5/201611/30/2017
ActiveTravelers Casualty and Surety Company301067Agent - Casualty7/5/2016 
InactiveTravelers Casualty and Surety Company301067Agent - General Lines1/22/19988/15/2000
ActiveTravelers Casualty and Surety Company301067Agent - Property7/5/2016 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty10/21/2002 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property10/21/2002 
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/200612/9/2009
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/200612/9/2009
InactiveTravelers Indemnity Company (The)301855Agent - Casualty7/5/201612/20/2018
InactiveTravelers Indemnity Company (The)301855Agent - General Lines1/22/19988/15/2000
InactiveTravelers Indemnity Company (The)301855Agent - Property7/5/201612/20/2018
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty8/15/200012/5/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - General Lines1/22/19988/15/2000
InactiveTravelers Indemnity Company of America (The)301093Agent - Property8/15/200012/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty8/15/200012/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - General Lines1/22/19988/15/2000
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property8/15/200012/5/2013
ActiveTravelers Property Casualty Company of America301649Agent - Casualty8/15/2000 
InactiveTravelers Property Casualty Company of America301649Agent - General Lines1/22/19988/15/2000
ActiveTravelers Property Casualty Company of America301649Agent - Property8/15/2000 
ActiveTrustmark Insurance Company300317Agent - Health10/3/2015 
ActiveTrustmark Insurance Company300317Agent - Life10/3/2015 
InactiveUNUM Life Insurance Company of America300817Agent - Health11/16/201710/8/2021
InactiveUNUM Life Insurance Company of America300817Agent - Life11/16/201710/8/2021
InactiveUnion Security Insurance Company301844Agent - Health2/7/20021/8/2015
InactiveUnion Security Insurance Company301844Agent - Life3/14/20021/8/2015
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health3/31/199712/21/2005
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life3/31/199712/21/2005
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/18/20121/26/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/18/20121/26/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/6/200411/30/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/6/200411/30/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health12/20/200011/30/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/12/200411/30/2016
InactiveValley Forge Insurance Company301052Agent - General Lines4/15/199612/31/1999
InactiveWestport Insurance Corporation301875Agent - Casualty8/15/200011/3/2008
InactiveWestport Insurance Corporation301875Agent - General Lines8/3/19928/15/2000
InactiveWestport Insurance Corporation301875Agent - Property8/15/200011/3/2008
InactiveWilcac Life Insurance Company301573Agent - Health12/20/199412/28/2005
InactiveWilcac Life Insurance Company301573Agent - Life12/20/199412/28/2005
Inactive301729Agent - Casualty8/15/20005/31/2003
Inactive301729Agent - General Lines6/25/19988/15/2000
Inactive301729Agent - Property8/15/20005/31/2003
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Health7/1/199312/31/2001
InactiveAcordia of Louisville Inc.401252Agent - Life7/1/199312/31/2001
InactiveAndrews, Kimberly D 388009Agent - Health1/25/20134/17/2013
InactiveAndrews, Kimberly D 388009Agent - Life1/25/20134/17/2013
InactiveBoston, William Raymond 330826Administrator - Not Applicable2/17/19953/31/1997
InactiveBoston, William Raymond 330826Agent - General Lines1/19/19958/14/1996
InactiveBrewer, Janet Jo 371146Agent - Casualty2/19/20037/3/2003
InactiveBrewer, Janet Jo 371146Agent - Health5/9/20064/1/2009
InactiveBrewer, Janet Jo 371146Agent - Life5/9/20064/1/2009
InactiveBrewer, Janet Jo 371146Agent - Property2/19/20037/3/2003
InactiveBriley, Jeremy 791202Agent - Casualty10/15/201211/20/2013
DeniedBriley, Jeremy 791202Agent - Property  
InactiveChilders, Kathleen R 318036Administrator - Not Applicable4/18/20015/31/2005
InactiveChilders, Kathleen R 318036Agent - Casualty8/27/20011/21/2005
InactiveChilders, Kathleen R 318036Agent - Property8/27/20011/21/2005
InactiveConn, Brenda G 358638Administrator - Not Applicable9/4/19976/30/2008
ActiveConn, Brenda G 358638Agent - Casualty8/15/2000 
InactiveConn, Brenda G 358638Agent - General Lines5/8/19958/15/2000
ActiveConn, Brenda G 358638Agent - Property8/15/2000 
InactiveCoon, Evelyn R 380534Agent - Health5/8/19958/8/1996
InactiveCoon, Evelyn R 380534Agent - Life5/8/19958/8/1996
InactiveDumeyer, Matthew 834621Agent - Casualty5/26/20161/15/2018
InactiveDumeyer, Matthew 834621Agent - Health6/3/20161/15/2018
InactiveDumeyer, Matthew 834621Agent - Life6/3/20161/15/2018
InactiveDumeyer, Matthew 834621Agent - Property5/26/20161/15/2018
InactiveFrye, Jack A 313518Agent - General Lines1/19/199510/23/1996
InactiveFrye, Jack A 313518Agent - Health1/19/199510/23/1996
InactiveFrye, Jack A 313518Agent - Life1/19/199510/23/1996
InactiveGiese, Christopher Mark 328119Agent - Casualty1/29/20075/1/2011
InactiveGiese, Christopher Mark 328119Agent - Property1/29/20075/1/2011
InactiveHall, Karen Myers 366458Administrator - Not Applicable9/4/19973/31/2001
InactiveHampton-Peers, Robyn Sue 354120Administrator - Not Applicable4/18/20013/31/2006
ActiveHyman, Lisa Kay 520208Agent - Casualty10/18/2018 
ActiveHyman, Lisa Kay 520208Agent - Health11/3/2020 
ActiveHyman, Lisa Kay 520208Agent - Life11/3/2020 
ActiveHyman, Lisa Kay 520208Agent - Property11/30/2018 
InactiveKiser, Carla J 355816Administrator - Not Applicable9/4/19973/31/2001
InactiveLee, Judith A 302638Agent - Health8/22/20051/4/2013
InactiveLee, Judith A 302638Agent - Life8/22/20051/4/2013
InactiveLehman, Juanita Elaine 388026Agent - Health2/19/20037/16/2014
InactiveLehman, Juanita Elaine 388026Agent - Life2/19/20037/16/2014
InactiveMccreedy, Melissa Ann 370748Agent - Health5/7/20031/6/2004
InactiveMccreedy, Melissa Ann 370748Agent - Life5/7/20031/6/2004
DeniedMccreedy, Melissa Ann 370748Agent - Property  
InactiveMikel, Teresa D 545584Agent - Health4/17/20138/1/2017
InactiveMikel, Teresa D 545584Agent - Life4/17/20138/1/2017
InactiveMiles, Patricia 345746Administrator - Not Applicable4/18/19955/31/2010
InactiveMills, Jinna Lea 345060Administrator - Not Applicable9/4/19973/31/2001
InactiveMills, Jinna Lea 345060Agent - Health8/14/19962/19/2003
InactiveMills, Jinna Lea 345060Agent - Life8/14/19962/19/2003
InactivePhillips, Darlene S 533283Agent - Casualty6/10/200311/19/2020
InactivePhillips, Darlene S 533283Agent - Health1/6/200411/19/2020
InactivePhillips, Darlene S 533283Agent - Life1/6/200411/19/2020
InactivePhillips, Darlene S 533283Agent - Property6/10/200311/19/2020
InactivePrewitt, Lori M 354231Administrator - Not Applicable2/9/19933/31/1997
InactiveProffitt, Bobby Daryl 384599Agent - General Lines3/31/19948/15/2000
InactiveProffitt, Bobby Daryl 384599Agent - Health3/31/19947/1/2002
InactiveProffitt, Bobby Daryl 384599Agent - Life3/31/19947/1/2002
InactiveRay, Gloria A. 364351Administrator - Not Applicable9/4/19976/30/2003
InactiveRay, Gloria A. 364351Agent - Casualty8/27/20012/19/2003
InactiveRay, Gloria A. 364351Agent - Property8/27/20012/19/2003
InactiveSample, Mandy 898574Agent - Health1/25/20172/23/2018
InactiveSample, Mandy 898574Agent - Life1/25/20172/23/2018
InactiveSousan, Diane Whelan 363432Agent - Casualty1/6/200412/2/2004
InactiveSousan, Diane Whelan 363432Agent - Health1/6/20046/23/2005
InactiveSousan, Diane Whelan 363432Agent - Life1/6/20046/23/2005
InactiveSousan, Diane Whelan 363432Agent - Property1/6/200412/2/2004
InactiveStevenson, Patrick Joseph 360799Administrator - Not Applicable9/4/19973/31/2001
InactiveStevenson, Patrick Joseph 360799Agent - Casualty8/15/20002/19/2003
InactiveStevenson, Patrick Joseph 360799Agent - General Lines10/23/19968/15/2000
InactiveStevenson, Patrick Joseph 360799Agent - Health10/23/19962/19/2003
InactiveStevenson, Patrick Joseph 360799Agent - Life10/23/19962/19/2003
InactiveStevenson, Patrick Joseph 360799Agent - Property8/15/20002/19/2003
InactiveTrent, B Darrell 362210Administrator - Not Applicable4/18/200110/31/2019
InactiveTrent, B Darrell 362210Agent - Casualty8/27/200110/30/2018
InactiveTrent, B Darrell 362210Agent - General Lines9/8/19958/14/1996
InactiveTrent, B Darrell 362210Agent - Health5/24/200610/30/2018
InactiveTrent, B Darrell 362210Agent - Life5/24/200610/30/2018
InactiveTrent, B Darrell 362210Agent - Property8/27/200110/30/2018
InactiveWhitehead, Marlice Dawn 503403Administrator - Not Applicable4/18/20019/30/2003
InactiveWhitehead, Marlice Dawn 503403Agent - Health8/27/20017/1/2002
InactiveWhitehead, Marlice Dawn 503403Agent - Life8/27/20017/1/2002
InactiveWilliams, Stephanie Ann 371242Administrator - Not Applicable9/4/19971/14/2004
InactiveWilliams, Stephanie Ann 371242Agent - Health5/8/19952/19/2003
InactiveWilliams, Stephanie Ann 371242Agent - Life5/8/19952/19/2003
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life3/8/200012/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Health3/8/200012/31/2001

© Commonwealth of Kentucky. All rights reserved.