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	Life	6/11/2002		3/31/2028
Active	Resident	Agent	Property	6/11/2002		3/31/2028
Active	Resident	Agent	Health	6/11/2002		3/31/2028
Active	Resident	Agent	Casualty	6/11/2002		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

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
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
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	5/2/2016	11/14/2021
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	5/2/2016	11/14/2021

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