DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ammann, Lacey	DOIID	1235204	NAIC NPN	20174721

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/6/2022	12/5/2023
Inactive	Non Resident	Agent	Property	10/6/2022	12/5/2023
* 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	AXIS Insurance Company	301290	Agent - Casualty	10/31/2022	6/6/2023
Inactive	AXIS Insurance Company	301290	Agent - Property	10/31/2022	6/6/2023
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	11/2/2022	5/1/2023
Inactive	XL Specialty Insurance Company	301605	Agent - Property	11/2/2022	5/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fetch Insurance Services LLC	705274	Agent - Casualty	3/21/2023	6/6/2023
Inactive	Fetch Insurance Services LLC	705274	Agent - Property	3/21/2023	6/6/2023