DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fernandez, Kayla Ysabel	DOIID	1040798	NAIC NPN	19168777

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	3/13/2020		8/31/2024
Active	Non Resident	Agent	Health	3/13/2020		8/31/2024
Active	Non Resident	Agent	Life	3/13/2020		8/31/2024
Inactive	Non Resident	Staff Adjuster	Property & Casualty	5/17/2019	8/28/2020
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AMEX Assurance Company	301728	Agent - Health	5/5/2020	5/3/2023
Inactive	AMEX Assurance Company	301728	Agent - Personal Lines	5/5/2020	5/3/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurant Insurance Agency, Inc	559398	Agent - Life
Inactive	Assurant Insurance Agency, Inc	559398	Agent - Health	5/5/2020	5/3/2023