DEPARTMENT OF INSURANCE

Agent Licensing - Continuing Education Information

Name	Champlin, Terri Marie	DOIID	502498	NAIC NPN	7211141

If a course you have completed is not listed below, please contact your CE Provider to validate that you have completed it properly, and it has been sent to the Kentucky Department of Insurance (DOI). All CE Courses received by DOI are posted on the web site within (3) working days. IT IS YOUR RESPONSIBILITY TO MONITOR AND VERIFY ALL CE COURSES HAVE BEEN PROPERLY FILED WITH DOI. Failure to do so may result in license expiration.

UPDATE FOR KENTUCKY RESIDENT LICENSEES AND NON-RESIDENT ADJUSTERS DESIGNATING KENTUCKY AS THEIR HOME STATE:

IF YOU ARE NEWLY LICENSED, compliance period begins after you are licensed for one full year, then you are subject to renewal based on your birth month and birth year. Example: John Doe – DOB is 4/12/1960, Licensed on 4/30/2017. Licensed from April 2017 to April 2018, birth month is April, and birth year is even-numbered year. Therefore, first license renewal (and CE) is due on 4/30/2018. Then compliance period will be due 4/30 of every even-numbered year.
Each compliance period, you must complete –

Minimum of 24 hours total continuing education credit, up to twelve (12) excess hours will be carried over to the next compliance period as 'general' hours.
Three (3) of those hours in course concentration of 'Ethics' for Agents, Independent Adjusters, and Public Adjusters,

There is no longer a 'classroom' requirement, so your courses may be completed by self-study, correspondence, or classroom.
REMINDER - Continuing Education is only HALF of your License Renewal Requirement – be sure to complete the license renewal through eServices by answering three (3) background questions, reporting any applicable background issues to DOI, and pay any applicable fees.
Agents - License renewal fees are only charged when you have no active insurer appointments. You must be appointed in Kentucky to sell, solicit and negotiate insurance for each insurer. If renewed within the 60-days following the renewal date, a penalty fee of $40 is applied for resident agents, or $50 for non-resident agents.
Adjusters’ license renewal fee is $50. If paid within the 60-days following the renewal date, a penalty fee of $50 is applied.

Agent CE Compliance by: Extension Date :

CE Compliance Date	Ethics Hours	Ethics Complete	LOA Hours	LOA Complete	Class Complete	Corr Hours	Total CE Hours	Compliant This Period
10/31/2024	0	No	0	Yes	N/A	0	0	No
10/31/2022	3	Yes	12	Yes	N/A	24	24	Yes
10/31/2020	3	Yes	21	Yes	N/A	24	24	Yes
10/31/2018	3	Yes	12	Yes	N/A	24	24	Yes

Course #	Course Concentration	KY Provider Name	Completion Date	Method of Instruction	Credit Hours	Compliance Date
Life Insurance Plans & Policies - C11939	Life and Health	A.D. Banker & Company, LLC	10/28/2022	Correspondence	12	10/31/2022
Identity Theft & Anti-Money Laundering - C62848	General Insurance Principles	A.D. Banker & Company, LLC	10/27/2022	Correspondence	9	10/31/2022
Ethics: Delivering on the Promise - C11898	Ethics	A.D. Banker & Company, LLC	10/27/2022	Correspondence	3	10/31/2022
Insurance Fraud - C11911	Life, Health, Property & Casualty	A.D. Banker & Company, LLC	12/10/2020	Correspondence	5	10/31/2020
Ethics: Delivering on the Promise - C11898	Ethics	A.D. Banker & Company, LLC	12/10/2020	Correspondence	3	10/31/2020
Insurance & Wealth Preservation - C11899	Life and Health	A.D. Banker & Company, LLC	12/9/2020	Correspondence	12	10/31/2020
Estate Planning - C98347	Life and Health	A.D. Banker & Company, LLC	10/21/2020	Correspondence	4	10/31/2020
Life Insurance Plans & Policies - C11939	Life and Health	A.D. Banker & Company, LLC	9/25/2018	Correspondence	12	10/31/2018
Identity Theft & Anti-Money Laundering - C62848	General Insurance Principles	A.D. Banker & Company, LLC	9/19/2018	Correspondence	9	10/31/2018
Ethics in Action - C78108	Ethics	A.D. Banker & Company, LLC	9/14/2018	Correspondence	3	10/31/2018