DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dermon, Kimberly Ann	DOIID	363036	NAIC NPN	1474665

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	6/27/1994	7/1/1998
Inactive	Resident	Agent	Life	7/7/1994	12/19/1996
Withdrawn	Resident	Agent	Personal Lines
Inactive	Resident	Apprentice Adjuster	Not Applicable	8/25/1999	10/19/1999
Active	Resident	Independent Adjuster	Property & Casualty	4/11/2024		1/31/2026
* 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	American National General Insurance Company	301944	Agent - General Lines	6/27/1994	11/22/1996
Inactive	American National Insurance Company	301861	Agent - Life	7/7/1994	12/19/1996
Inactive	American National Property and Casualty Company	300392	Agent - General Lines	6/27/1994	11/22/1996
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - General Lines	2/27/1998	7/1/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Charles Taylor TPA, LLC	401233	Independent Adjuster - Property & Casualty	1/22/2004	1/31/2024
Inactive	Ohio Casualty Insurance Company	301492	Independent Adjuster - Property & Casualty	10/19/1999	1/31/2024

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hisle, Jimmy D	351186	Apprentice Adjuster - Not Applicable	8/25/1999	10/19/1999