DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ball, Andrea	DOIID	1076732	NAIC NPN	19415921

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/4/2020		6/30/2025
Active	Non Resident	Agent	Casualty	3/4/2020		6/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/4/2020		6/30/2025
* 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	04/15/2025	06/30/2025
Surplus Lines Broker	04/15/2025	06/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Coaction Specialty Insurance Services,LLC	792089	Agent - Casualty	8/10/2023
Active	Coaction Specialty Insurance Services,LLC	792089	Agent - Property	8/10/2023
Active	Coaction Specialty Insurance Services,LLC	792089	Surplus Lines Broker - Not Applicable	8/10/2023