DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Koch, Kelly A	DOIID	318726	NAIC NPN	3744126

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	4/30/2003
Inactive	Resident	Agent	Life	8/30/2000	7/1/2002
Inactive	Resident	Agent	Credit Life & Health	3/22/1999	8/7/2000
* 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	Everlake Life Insurance Company	300873	Agent - Life	9/18/2000	7/1/2002
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	9/18/2000	7/1/2002
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	8/30/2000	7/1/2002
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	3/22/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	4/18/2003
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/10/2001	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PNC Bank NA	400230	Agent - Credit Life & Health	4/9/1999	8/7/2000
Inactive	PNC Bank NA	400230	Agent - Limited Line Credit	8/7/2000	4/30/2003