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DEPARTMENT OF INSURANCE
Affiliations
Name
The Insurance Store
DOIID
996527
NAIC NPN
18806776
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Property
3/20/2025
3/31/2026
Active
Resident
Agent
Casualty
3/31/2025
3/31/2026
Inactive
Resident
Agent
Life
6/4/2018
3/31/2020
Inactive
Resident
Agent
Health
6/4/2018
3/31/2020
Pending
Resident
Agent
Personal Lines
* 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 Property and Casualty Insurance Company
301954
Agent - Casualty
4/8/2025
Active
American Modern Property and Casualty Insurance Company
301954
Agent - Property
4/8/2025
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Randall, Kenneth Lee
377321
Agent - Casualty
3/31/2025
Inactive
Randall, Kenneth Lee
377321
Agent - Health
6/4/2018
3/31/2020
Inactive
Randall, Kenneth Lee
377321
Agent - Life
6/4/2018
3/31/2020
Active
Randall, Kenneth Lee
377321
Agent - Property
3/20/2025
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