DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kazemi, Katheryn Hemmelgarn	DOIID	697650	NAIC NPN	12366040

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/6/2017		2/28/2025
Active	Non Resident	Agent	Casualty	11/6/2017		2/28/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	2/27/2009	1/27/2015
* 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	Great American Alliance Insurance Company	301247	Agent - Casualty	12/12/2017	7/2/2019
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	12/12/2017	7/2/2019
Inactive	Great American Assurance Company	300327	Agent - Casualty	12/12/2017	7/2/2019
Inactive	Great American Assurance Company	300327	Agent - Property	12/12/2017	7/2/2019
Inactive	Great American Insurance Company	301586	Agent - Casualty	12/12/2017	7/2/2019
Inactive	Great American Insurance Company	301586	Agent - Property	12/12/2017	7/2/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	12/12/2017	7/2/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Property	12/12/2017	7/2/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Great American Ins Agency Inc	556733	Agent - Casualty	7/27/2009	1/27/2015
Inactive	Great American Ins Agency Inc	556733	Agent - Property	7/27/2009	1/27/2015