DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jay Allen Insurance Agency LLC	DOIID	856827	NAIC NPN	17397903

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	10/16/2014		3/31/2026
Active	Resident	Agent	Property	10/16/2014		3/31/2026
Active	Resident	Agent	Casualty	10/16/2014		3/31/2026
Active	Resident	Agent	Life	10/16/2014		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	12/20/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	12/20/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/24/2014	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/24/2014	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/24/2014	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/24/2014	11/14/2021
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	11/10/2014
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	11/10/2014
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	11/10/2014
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	11/10/2014
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	11/10/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allen, Jack Reginald	392975	Agent - Casualty	10/16/2014
Active	Allen, Jack Reginald	392975	Agent - Health	10/16/2014
Active	Allen, Jack Reginald	392975	Agent - Life	10/16/2014
Active	Allen, Jack Reginald	392975	Agent - Property	10/16/2014