DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gauthier, Kylie Rae	DOIID	1272631	NAIC NPN	20568353

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/4/2023		6/30/2026
Active	Non Resident	Agent	Casualty	5/4/2023		6/30/2026
Active	Non Resident	Agent	Personal Lines	5/4/2023		6/30/2026
* 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
Agent	04/15/2024	06/30/2024	05/31/2024	05/31/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	5/24/2023	7/12/2024
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	5/24/2023	7/12/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jetty Ins Agency LLC	957465	Agent - Casualty	9/1/2023	5/6/2024
Inactive	Jetty Ins Agency LLC	957465	Agent - Property	9/1/2023	5/6/2024