DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haynes, Rebecca Jean	DOIID	1172532	NAIC NPN	19744945

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/15/2021	11/30/2024
Inactive	Non Resident	Agent	Property	11/15/2021	11/30/2024
Active	Non Resident	Staff Adjuster	Property & Casualty	1/8/2024		11/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Independence American Insurance Company	524747	Agent - Casualty	9/10/2023	11/30/2024
Inactive	Independence American Insurance Company	524747	Agent - Property	9/10/2023	11/30/2024
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	11/18/2021	1/10/2024
Inactive	United States Fire Insurance Company	582240	Agent - Property	11/18/2021	1/10/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PTZ Insurance Agency LTD	695420	Agent - Casualty	12/6/2022	11/30/2024
Inactive	PTZ Insurance Agency LTD	695420	Agent - Property	12/6/2022	11/30/2024