DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Plank, Kay F	DOIID	677624	NAIC NPN	2024413

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/3/2008	9/3/2013
Inactive	Non Resident	Agent	Property	4/3/2008	9/3/2013
Inactive	Non Resident	Agent	Health	4/3/2008	9/3/2013
* 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	New Hampshire Insurance Company	301670	Agent - Health	7/30/2009	9/3/2013
Inactive	North Pointe Insurance Company	301029	Agent - Casualty	6/17/2008	10/26/2012
Inactive	North Pointe Insurance Company	301029	Agent - Property	6/17/2008	10/26/2012
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	4/14/2010	12/2/2011
Inactive	Rural Community Insurance Company	301891	Agent - Property	4/14/2010	12/2/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	3/11/2010	6/14/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	3/11/2010	6/14/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	3/11/2010	6/14/2012