DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Simons, Kathy Ann	DOIID	558438	NAIC NPN	6217259

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/15/2002	4/30/2008
Inactive	Non Resident	Agent	Property	10/15/2002	4/30/2008
* 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	Fairmont Insurance Company	301924	Agent - Casualty	10/25/2002	4/30/2008
Inactive	Fairmont Insurance Company	301924	Agent - Property	10/25/2002	4/30/2008
Inactive	StarStone National Insurance Company	300812	Agent - Casualty	10/25/2002	3/29/2004
Inactive	StarStone National Insurance Company	300812	Agent - Property	10/25/2002	3/29/2004
Inactive	TIG Insurance Company	301750	Agent - Casualty	10/15/2002	11/4/2003
Inactive	TIG Insurance Company	301750	Agent - Property	10/15/2002	11/4/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crum & Forster Insurance Brokers, Inc.	570764	Agent - Casualty	6/30/2003	6/25/2004
Inactive	Crum & Forster Insurance Brokers, Inc.	570764	Agent - Property	6/30/2003	6/25/2004
Inactive	Ranger Insurance Services, Inc.	522650	Agent - Casualty	10/15/2002	1/27/2004
Inactive	Ranger Insurance Services, Inc.	522650	Agent - Property	10/15/2002	1/24/2004