DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson, Avis Yvette	DOIID	1261034	NAIC NPN	19882888

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/9/2023	12/31/2024
Inactive	Non Resident	Agent	Life	4/18/2023	12/31/2024
Active	Non Resident	Staff Adjuster	Property & Casualty	5/2/2025		12/31/2026
* 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
Staff Adjuster	10/15/2026	12/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Horace Mann Life Insurance Company	300852	Agent - Life	4/20/2023	12/5/2024
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Health	3/13/2023	12/5/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Horace Mann Service Corporation	400869	Agent - Health	5/9/2023	12/5/2024
Inactive	Horace Mann Service Corporation	400869	Agent - Life	5/9/2023	12/5/2024