DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clayton, Kiah Bradley	DOIID	636147	NAIC NPN	8858885

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/2/2006	5/31/2008
Inactive	Resident	Agent	Life	10/2/2006	5/31/2008
* 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	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/9/2006	4/8/2008
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/9/2006	4/8/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/5/2007	5/31/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	4/4/2007	5/31/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	4/4/2007	12/8/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Health	12/1/2006	5/31/2008
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Life	12/1/2006	5/31/2008
Inactive	Risk and Technology Advisors Inc.	580500	Agent - Health	3/5/2007	5/31/2008
Inactive	Risk and Technology Advisors Inc.	580500	Agent - Life	3/5/2007	5/31/2008