DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Baltas, Deno	DOIID	359295	NAIC NPN	7195561

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	6/25/1991	3/31/2002
Inactive	Resident	Agent	General Lines	5/13/1983	8/15/2000
* 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	Kentucky Medical Insurance Company	301260	Agent - General Lines	5/25/1995	8/15/2000
Inactive	United States Fire Insurance Company	301682	Agent - General Lines	5/13/1983	3/31/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	KMA Insurance Agency Inc.	401270	Agent - General Lines	3/12/1993	7/9/1997