DEPARTMENT OF INSURANCE

Affiliations

Name	Payne, Misty Dawn	DOIID	593431	NAIC NPN	8184952

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	11/8/2005	1/31/2026
Active	Resident	Agent	Property	9/14/2004	1/31/2026
Active	Resident	Agent	Casualty	9/14/2004	1/31/2026
Active	Resident	Agent	Health	11/8/2005	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Assurance Company	300897	Agent - Casualty	9/25/2006
Active	AIG Assurance Company	300897	Agent - Property	9/25/2006
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	5/9/2013	12/17/2020
Inactive	Aegis Security Insurance Company	300492	Agent - Property	5/9/2013	12/17/2020
Inactive	American Economy Insurance Company	300315	Agent - Casualty	7/6/2021	6/5/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	7/6/2021	6/5/2024
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	1/18/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	1/18/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	4/8/2006	12/15/2008
Inactive	American General Life Insurance Company	301585	Agent - Life	4/8/2006	12/15/2008
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	6/23/2008	6/5/2009
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	6/23/2008	6/5/2009
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	9/17/2015	1/12/2023
Inactive	American Interstate Insurance Company	301092	Agent - Property	9/17/2015	1/12/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/30/2015	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/30/2015	12/13/2023
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/2/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/2/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/30/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/30/2015	11/14/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025	3/15/2025
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	10/30/2020
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	10/30/2020
Inactive	BITCO General Insurance Corporation	301305	Agent - Casualty	4/24/2016	6/5/2018
Inactive	BITCO General Insurance Corporation	301305	Agent - Property	4/24/2016	6/5/2018
Inactive	BITCO National Insurance Company	301366	Agent - Casualty	4/24/2016	6/5/2018
Inactive	BITCO National Insurance Company	301366	Agent - Property	4/24/2016	6/5/2018
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/8/2007	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/8/2007	12/20/2024
Active	Clearcover Insurance Company	1118667	Agent - Casualty	9/8/2021
Active	Clearcover Insurance Company	1118667	Agent - Property	9/8/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	1/18/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	11/27/2010
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/13/2015	10/14/2020
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/13/2015	10/14/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	9/29/2014	10/14/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	9/29/2014	10/14/2020
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	7/27/2012	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	7/27/2012	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	7/27/2012	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	7/27/2012	12/13/2018
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	2/24/2005	8/5/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	2/24/2005	8/5/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	2/24/2005	8/5/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	2/24/2005	8/5/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/24/2005	8/5/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/24/2005	8/5/2013
Inactive	Farmington Casualty Company	301137	Agent - Casualty	10/30/2020	8/13/2024
Inactive	Farmington Casualty Company	301137	Agent - Property	10/30/2020	8/13/2024
Inactive	First Colony Life Insurance Company	301179	Agent - Health	5/30/2006	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/30/2006	1/1/2007
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/14/2009
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/14/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	4/3/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	4/3/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/6/2016	10/26/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/6/2016	10/26/2017
Active	Granite State Insurance Company	300818	Agent - Casualty	9/25/2006
Active	Granite State Insurance Company	300818	Agent - Property	9/25/2006
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	9/29/2014	12/20/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	9/29/2014	12/20/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	7/18/2007	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	7/18/2007	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	7/18/2007	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	7/18/2007	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	7/18/2007	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	7/18/2007	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	7/18/2007	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	7/18/2007	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	7/18/2007	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	7/18/2007	11/7/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Health	12/18/2007	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Life	12/18/2007	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/18/2007	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/18/2007	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/18/2007	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/18/2007	11/27/2010
Active	Illinois National Insurance Company	301367	Agent - Casualty	1/16/2007
Active	Illinois National Insurance Company	301367	Agent - Property	1/16/2007
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	1/18/2021
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	9/26/2013	10/29/2015
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	2/24/2005	8/5/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	2/24/2005	8/5/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	1/18/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	1/18/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	1/18/2021
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	1/18/2021
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	1/18/2021
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/28/2021
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/28/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/6/2021	6/5/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/6/2021	6/5/2024
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/18/2007	11/7/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/18/2007	11/7/2008
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/30/2020
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	10/30/2020
Active	The Phoenix Insurance Company	301502	Agent - Casualty	10/30/2020
Active	The Phoenix Insurance Company	301502	Agent - Property	10/30/2020
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/1/2014	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/1/2014	10/1/2020
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	10/30/2020
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	10/30/2020
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	10/30/2020
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	10/30/2020
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	10/30/2020
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	10/30/2020
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	10/30/2020
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	10/30/2020
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	10/30/2020
Active	Travelers Property Casualty Company of America	301649	Agent - Property	10/30/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	7/18/2007	11/7/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	7/18/2007	11/7/2008
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/13/2015	10/14/2020
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/13/2015	10/14/2020
Active	United Financial Casualty Company	301886	Agent - Casualty	7/28/2021
Active	United Financial Casualty Company	301886	Agent - Property	7/28/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/12/2022	4/24/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/12/2022	4/24/2023
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/6/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/6/2016	11/4/2016
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	7/3/2007	10/23/2024
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	7/3/2007	10/23/2024
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	7/3/2007	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	7/3/2007	12/2/2013
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	10/11/2018	10/23/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	10/11/2018	10/23/2024
Inactive	Universal Insurance Company	686754	Agent - Casualty	10/20/2011	11/22/2011
Inactive	Universal Insurance Company	686754	Agent - Property	10/20/2011	11/22/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/6/2011	8/4/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/6/2011	8/4/2011
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	1/18/2021
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	1/18/2021
Inactive	West Coast Life Insurance Company	301607	Agent - Health	6/6/2008	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	6/6/2008	11/16/2011
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	3/26/2009	10/1/2014
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	3/26/2009	10/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	2/17/2025
Inactive	Perennial Insurance Group LLC	398659	Agent - Health	2/7/2008	10/29/2013
Inactive	Perennial Insurance Group LLC	398659	Agent - Life	2/7/2008	10/29/2013
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Health	4/8/2006	1/16/2025
Inactive	StoneBridge Insurance Services, Inc	398862	Agent - Life	4/8/2006	1/16/2025
Inactive	Worth Insurance Group INC	398245	Agent - Casualty	7/27/2006	9/21/2021
Inactive	Worth Insurance Group INC	398245	Agent - Property	7/27/2006	9/21/2021
Inactive	Worth Insurance Group INC	398245	Agent - Health	7/27/2006	9/21/2021
Inactive	Worth Insurance Group INC	398245	Agent - Life	7/27/2006	9/21/2021
Inactive	Worth Insurance Group LLC	684698	Agent - Casualty	2/13/2009	3/31/2010
Inactive	Worth Insurance Group LLC	684698	Agent - Property	2/13/2009	3/31/2010
Inactive	Worth Insurance Group LLC	684698	Agent - Health	2/13/2009	3/31/2010
Inactive	Worth Insurance Group LLC	684698	Agent - Life	2/13/2009	3/31/2010