DEPARTMENT OF INSURANCE

Affiliations

Name	Penny, Mary W	DOIID	509259	NAIC NPN	7213580

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	5/27/2003	3/1/2018
Inactive	Resident	Agent	General Lines	7/24/2000	8/15/2000
Inactive	Resident	Agent	Life	5/27/2003	3/1/2018
Inactive	Resident	Agent	Casualty	12/23/2002	3/1/2018
Inactive	Resident	Agent	Property	12/23/2002	3/1/2018
* 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	Grange Insurance Company	300234	Agent - Casualty	12/23/2002	5/23/2003
Inactive	Grange Insurance Company	300234	Agent - Property	12/23/2002	5/23/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/24/2006	11/2/2010
Inactive	Humana Insurance Company	301104	Agent - Health	2/24/2006	11/2/2010
Inactive	Humana Insurance Company	301104	Agent - Life	2/24/2006	11/2/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/9/2005	11/2/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/9/2005	11/2/2010
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	8/15/2000	12/26/2001
Inactive	Shelter General Insurance Company	301109	Agent - General Lines	7/24/2000	8/15/2000
Inactive	Shelter General Insurance Company	301109	Agent - Property	8/15/2000	12/26/2001
Inactive	Shelter Life Insurance Company	300391	Agent - Health	5/30/2001	12/26/2001
Inactive	Shelter Life Insurance Company	300391	Agent - Life	4/30/2001	12/26/2001
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	8/15/2000	12/26/2001
Inactive	Shelter Mutual Insurance Company	301870	Agent - General Lines	7/24/2000	8/15/2000
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	8/15/2000	12/26/2001
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	1/27/2003	5/8/2017
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	1/27/2003	5/8/2017
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	1/27/2003	11/16/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	1/27/2003	11/16/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	5/27/2003	5/8/2017
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	1/27/2003	5/8/2017
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	5/27/2003	5/8/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tom Blair Insurance Agency, Inc	599596	Agent - Life	1/23/2007	5/8/2017
Inactive	Tom Blair Insurance Agency, Inc	599596	Agent - Health	1/23/2007	5/8/2017
Inactive	Tom Blair Insurance Agency, Inc	599596	Agent - Property	1/23/2007	5/8/2017
Inactive	Tom Blair Insurance Agency, Inc	599596	Agent - Casualty	1/23/2007	5/8/2017