DEPARTMENT OF INSURANCE

Name	Audubon Insurance Service Inc.	DOIID	398441	NAIC NPN	7220895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	6/11/2021		3/31/2027
Active	Resident	Agent	Casualty	6/11/2021		3/31/2027
Active	Resident	Agent	Health	6/11/2021		3/31/2027
Active	Resident	Agent	Life	6/11/2021		3/31/2027
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	General Lines	3/31/1982	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	10/25/1996	3/2/1999

*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	01/15/2025	03/31/2025	01/15/2025	01/15/2025	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	9322 Taylorsville Rd Suite 4bLouisville, KY 40299

Internet Information

Type	Address
Business Email	mbruckert@fdiins.com

Phone Information

Type	Phone
Business / Home Office	(502) 267-7066