DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Todd Tiller Insurance Inc	DOIID	551750	NAIC NPN	7316959

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	6/11/2002		3/31/2026
Active	Resident	Agent	Health	6/11/2002		3/31/2026
Active	Resident	Agent	Casualty	6/11/2002		3/31/2026
Active	Resident	Agent	Life	6/11/2002		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/5/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/5/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/2/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/2/2016	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/5/2005
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/5/2005	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/30/2003	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/30/2003	4/15/2025
Active	FB Insurance Company (The)	301763	Agent - Casualty	6/11/2002
Active	FB Insurance Company (The)	301763	Agent - Property	6/11/2002
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	6/11/2002
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	6/11/2002
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	6/11/2002
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	6/11/2002

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tiller, William Todd	333718	Agent - Casualty	8/16/2002
Active	Tiller, William Todd	333718	Agent - Health	8/16/2002
Active	Tiller, William Todd	333718	Agent - Life	8/16/2002
Active	Tiller, William Todd	333718	Agent - Property	8/16/2002