DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Merrill, Misty	DOIID	335801	NAIC NPN	2625871

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	7/3/2001
Inactive	Non Resident	Agent	General Lines	6/23/1999	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	7/3/2001
* 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	21st Century Centennial Insurance Company	301840	Agent - Casualty	8/15/2000	7/3/2001
Inactive	21st Century Centennial Insurance Company	301840	Agent - General Lines	6/23/1999	8/15/2000
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	8/15/2000	7/3/2001
Inactive	21st Century Premier Insurance Company	301925	Agent - Casualty	8/15/2000	7/3/2001
Inactive	21st Century Premier Insurance Company	301925	Agent - General Lines	6/23/1999	8/15/2000
Inactive	21st Century Premier Insurance Company	301925	Agent - Property	8/15/2000	7/3/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	GE Capital Agency, Inc.	524491	Agent - Property	6/8/2001	7/3/2001
Inactive	GE Capital Agency, Inc.	524491	Agent - Casualty	6/8/2001	7/3/2001