DEPARTMENT OF INSURANCE
Affiliations
NameRelation Insurance Services - Specialty Risk, Inc.DOIID741315NAIC NPN15957176
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAdministratorNot Applicable9/30/20113/31/2024 
InactiveNon ResidentAgentCasualty11/1/20103/31/2024 
InactiveNon ResidentAgentProperty11/1/20103/31/2024 
InactiveNon ResidentAgentLife11/1/20103/31/2024 
InactiveNon ResidentAgentHealth11/1/20103/31/2024 
* 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
InactiveAetna Health Inc. (PA)660717Agent - Health7/9/20137/5/2022
InactiveAetna Life Insurance Company301140Agent - Health7/9/20137/5/2022
InactiveAetna Life Insurance Company301140Agent - Life7/9/20137/5/2022
InactiveHartford Fire Insurance Company300628Agent - Health3/25/20203/31/2024
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty11/15/20133/31/2024
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health1/30/20133/31/2024
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property11/15/20133/31/2024
InactiveNationwide Life Insurance Company300495Agent - Health11/8/20113/31/2024
InactiveNationwide Life Insurance Company300495Agent - Life11/8/20113/31/2024
InactiveNationwide Mutual Insurance Company301749Agent - Casualty11/8/20113/31/2024
InactiveNationwide Mutual Insurance Company301749Agent - Property11/8/20113/31/2024
InactiveUnited States Fire Insurance Company582240Agent - Health5/10/20133/31/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBanks, Kimberly Elaine 764978Administrator - Not Applicable9/30/20115/31/2014
InactiveBriggs, Janice Marie 637635Agent - Casualty3/2/20153/31/2024
InactiveBriggs, Janice Marie 637635Agent - Health9/30/20113/31/2024
InactiveBriggs, Janice Marie 637635Agent - Life9/30/20113/31/2024
InactiveBriggs, Janice Marie 637635Agent - Property3/2/20153/31/2024
InactiveFeldblum, Ruth Leah 900748Agent - Health2/12/20163/31/2024
DeniedFeldblum, Ruth Leah 900748Agent - Life  
InactiveFlorez, Caroline Marie 677060Agent - Casualty11/1/20101/15/2016
InactiveFlorez, Caroline Marie 677060Agent - Health11/1/20101/15/2016
InactiveFlorez, Caroline Marie 677060Agent - Life11/1/20101/15/2016
InactiveFlorez, Caroline Marie 677060Agent - Property11/1/20101/15/2016
InactiveGilbert, Christine Lynn 505606Administrator - Not Applicable8/12/20143/31/2024

© Commonwealth of Kentucky. All rights reserved.