DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jack Williams Insurance Agency, Inc.	DOIID	557075	NAIC NPN	7441879

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	9/23/2002		3/31/2028
Active	Resident	Agent	Health	9/23/2002		3/31/2028
Active	Resident	Agent	Property	9/23/2002		3/31/2028
Active	Resident	Agent	Life	9/23/2002		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
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/29/2005	8/14/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/29/2005	8/14/2010
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	9/23/2002
Active	State Farm Fire and Casualty Company	301809	Agent - Property	9/23/2002
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	9/23/2002	11/16/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	9/23/2002	11/16/2010
Active	State Farm Life Insurance Company	301810	Agent - Life	9/23/2002
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	9/23/2002
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	9/23/2002

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bell, Jody Lynn	613284	Agent - Casualty	1/19/2007
Active	Bell, Jody Lynn	613284	Agent - Property	1/19/2007
Inactive	Brown, Julia Kristine	335088	Agent - Casualty	9/23/2002	10/5/2004
Inactive	Brown, Julia Kristine	335088	Agent - Health	9/23/2002	10/5/2004
Inactive	Brown, Julia Kristine	335088	Agent - Life	9/23/2002	10/5/2004
Inactive	Brown, Julia Kristine	335088	Agent - Property	9/23/2002	10/5/2004
Active	Harlow, Jacqueline Rena	372130	Agent - Casualty	9/23/2002
Active	Harlow, Jacqueline Rena	372130	Agent - Health	9/23/2002
Active	Harlow, Jacqueline Rena	372130	Agent - Life	9/23/2002
Active	Harlow, Jacqueline Rena	372130	Agent - Property	9/23/2002
Active	Williams, Jack Peal	390829	Agent - Casualty	9/23/2002
Active	Williams, Jack Peal	390829	Agent - Health	9/23/2002
Active	Williams, Jack Peal	390829	Agent - Life	9/23/2002
Active	Williams, Jack Peal	390829	Agent - Property	9/23/2002