DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bohannon, Courtney Symone	DOIID	979616	NAIC NPN	18628586

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/18/2017	9/30/2021
Inactive	Non Resident	Agent	Casualty	12/18/2017	9/30/2021
Active	Non Resident	Independent Adjuster	Property & Casualty	5/26/2021		9/30/2025
* 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
Independent Adjuster	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/16/2018	12/11/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/16/2018	12/11/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Embrace Pet Ins LLC	723377	Agent - Casualty	8/16/2019	12/11/2019
Inactive	Embrace Pet Ins LLC	723377	Agent - Property	8/16/2019	12/11/2019
Active	PTZ Insurance Agency LTD	695420	Independent Adjuster - Property & Casualty	3/2/2023