DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Baker, Penny J	DOIID	943209	NAIC NPN	18296643

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	2/13/2017		7/31/2027
* 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	05/15/2025	07/31/2025	07/08/2025	07/08/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Great Western Insurance Company	501693	Agent - Life	7/30/2020	7/12/2021
Inactive	Homesteaders Life Company	300836	Agent - Life	2/21/2017	5/20/2025
Active	Southern Financial Life Insurance Company	300664	Agent - Life	7/12/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Blackburn & Ward Funeral Home Inc	398957	Agent - Life	6/20/2025