DEPARTMENT OF INSURANCE
Affiliations
NameThe Insurance StoreDOIID996527NAIC NPN18806776
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty3/20/2025 3/31/2026
ActiveResidentAgentCasualty3/31/2025 3/31/2026
InactiveResidentAgentLife6/4/20183/31/2020 
InactiveResidentAgentHealth6/4/20183/31/2020 
PendingResidentAgentPersonal Lines   
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty4/8/2025 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property4/8/2025 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveRandall, Kenneth Lee 377321Agent - Casualty3/31/2025 
InactiveRandall, Kenneth Lee 377321Agent - Health6/4/20183/31/2020
InactiveRandall, Kenneth Lee 377321Agent - Life6/4/20183/31/2020
ActiveRandall, Kenneth Lee 377321Agent - Property3/20/2025 

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