DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Worthington, Justin D	DOIID	904290	NAIC NPN	17826529

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/19/2016		2/28/2026
Active	Non Resident	Agent	Property	1/19/2016		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AGCS Marine Insurance Company	300403	Agent - Casualty	2/22/2016	2/6/2020
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	2/22/2016	2/6/2020
Active	AXIS Insurance Company	301290	Agent - Casualty	1/12/2021
Active	AXIS Insurance Company	301290	Agent - Property	1/12/2021
Active	XL Specialty Insurance Company	301605	Agent - Casualty	5/18/2016
Active	XL Specialty Insurance Company	301605	Agent - Property	5/18/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fetch Insurance Services LLC	705274	Agent - Property	11/19/2019
Active	Fetch Insurance Services LLC	705274	Agent - Casualty	11/19/2019