DEPARTMENT OF INSURANCE
Affiliations
NameInternational Marketing Adm &Ins Brokerage CorpDOIID549676NAIC NPN3687017
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty11/15/2012 3/31/2028
ActiveNon ResidentAgentHealth9/26/2002 3/31/2028
ActiveNon ResidentAgentProperty11/15/2012 3/31/2028
ActiveNon ResidentAgentLife9/26/2002 3/31/2028
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Health11/11/2002 
InactiveAF&L Insurance Company301582Agent - Health4/1/200411/1/2006
InactiveAXA XL Insurance Company Americas300979Agent - Health5/2/20199/20/2022
ActiveAetna Health Inc. (PA)660717Agent - Health3/14/2012 
ActiveAetna Life Insurance Company301140Agent - Health3/14/2012 
ActiveAetna Life Insurance Company301140Agent - Life3/14/2012 
InactiveAmerican General Assurance Company300586Agent - Health7/1/200912/31/2012
InactiveAmerican General Assurance Company300586Agent - Life7/1/200912/31/2012
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/20124/9/2019
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20124/9/2019
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health6/1/200712/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life6/1/200712/31/2012
ActiveArch Insurance Company300688Agent - Health6/27/2022 
InactiveAthene Annuity and Life Company301893Agent - Health10/20/20081/5/2011
InactiveAthene Annuity and Life Company301893Agent - Life10/20/20081/5/2011
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty1/7/201312/3/2014
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property1/7/201312/3/2014
ActiveBerkley Life and Health Insurance Company301421Agent - Health2/23/2017 
ActiveEverest Denali Insurance Company941054Agent - Casualty11/8/2023 
ActiveEverest Denali Insurance Company941054Agent - Health11/8/2023 
ActiveEverest Denali Insurance Company941054Agent - Property11/8/2023 
ActiveEverest Reinsurance Company301836Agent - Casualty11/8/2023 
ActiveEverest Reinsurance Company301836Agent - Health11/8/2023 
ActiveEverest Reinsurance Company301836Agent - Property11/8/2023 
ActiveFederal Insurance Company301144Agent - Health5/15/2003 
InactiveGarden State Life Insurance Company300610Agent - Health5/17/20062/18/2015
InactiveGarden State Life Insurance Company300610Agent - Life5/17/20062/18/2015
ActiveHartford Life and Accident Insurance Company300878Agent - Health10/2/2013 
ActiveHartford Life and Accident Insurance Company300878Agent - Life10/2/2013 
InactiveHumana Health Plan, Inc.300142Agent - Health7/27/20129/3/2013
InactiveHumana Insurance Company301104Agent - Health7/27/20129/3/2013
InactiveHumana Insurance Company301104Agent - Life7/27/20129/3/2013
ActiveIndemnity Insurance Company of North America301760Agent - Casualty1/14/2014 
ActiveIndemnity Insurance Company of North America301760Agent - Property1/14/2014 
ActiveIndependence American Insurance Company524747Agent - Casualty5/20/2025 
ActiveIndependence American Insurance Company524747Agent - Property5/20/2025 
InactiveKanawha Insurance Company300127Agent - Health7/27/20129/3/2013
InactiveKanawha Insurance Company300127Agent - Life7/27/20129/3/2013
ActiveLiberty Insurance Underwriters Inc.301391Agent - Casualty9/23/2013 
ActiveLiberty Insurance Underwriters Inc.301391Agent - Health9/23/2013 
ActiveLiberty Insurance Underwriters Inc.301391Agent - Property9/23/2013 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty11/18/2014 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health9/24/2008 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property11/18/2014 
ActiveNationwide Life Insurance Company300495Agent - Health3/1/2012 
ActiveNationwide Life Insurance Company300495Agent - Life3/1/2012 
ActiveNew York Life Insurance Company300431Agent - Health6/29/2009 
ActiveNew York Life Insurance Company300431Agent - Life6/29/2009 
InactiveProvident Life and Accident Insurance Company301525Agent - Health11/1/200211/29/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Life11/1/200211/29/2005
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty1/7/201312/3/2014
InactiveStandard Fire Insurance Company (The)301068Agent - Property1/7/201312/3/2014
ActiveStarNet Insurance Company502746Agent - Health2/23/2017 
InactiveThe Phoenix Insurance Company301502Agent - Casualty1/7/201312/3/2014
InactiveThe Phoenix Insurance Company301502Agent - Property1/7/201312/3/2014
InactiveTravelers Commercial Insurance Company301506Agent - Casualty1/7/201312/3/2014
InactiveTravelers Commercial Insurance Company301506Agent - Property1/7/201312/3/2014
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty1/7/201312/3/2014
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property1/7/201312/3/2014
InactiveTravelers Indemnity Company (The)301855Agent - Casualty1/7/201312/3/2014
InactiveTravelers Indemnity Company (The)301855Agent - Property1/7/201312/3/2014
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty1/7/201312/3/2014
InactiveTravelers Indemnity Company of America (The)301093Agent - Property1/7/201312/3/2014
InactiveUNUM Life Insurance Company of America300817Agent - Health9/26/200211/29/2005
InactiveUNUM Life Insurance Company of America300817Agent - Life9/26/200211/29/2005
ActiveUnited States Fire Insurance Company582240Agent - Casualty11/13/2018 
ActiveUnited States Fire Insurance Company582240Agent - Health3/25/2014 
ActiveUnited States Fire Insurance Company582240Agent - Property11/13/2018 
ActiveUnited States Life Insurance Company in the City of New York301126Agent - Health6/1/2004 
ActiveUnited States Life Insurance Company in the City of New York301126Agent - Life6/1/2004 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health2/24/20121/26/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life2/24/20121/26/2014
InactiveWilton Reassurance Life Company of New York300163Agent - Life11/18/20036/8/2006
ActiveZurich American Insurance Company301121Agent - Health8/27/2012 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFerguson, Steven J 628043Agent - Casualty11/15/201210/30/2024
InactiveFerguson, Steven J 628043Agent - Property11/15/201210/30/2024
ActiveHarvin, James 500085Agent - Casualty11/12/2024 
ActiveHarvin, James 500085Agent - Property11/12/2024 
ActiveKlayman, Edward 319081Agent - Health9/26/2002 
ActiveKlayman, Edward 319081Agent - Life9/26/2002 

© Commonwealth of Kentucky. All rights reserved.