DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hayes, Kristy Nicole	DOIID	717872	NAIC NPN	14924041

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/11/2009	8/31/2013
Inactive	Non Resident	Agent	Property	11/11/2009	8/31/2013
* 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	American Family Home Insurance Company	301817	Agent - Casualty	4/26/2011	8/3/2012
Inactive	American Family Home Insurance Company	301817	Agent - Property	4/26/2011	8/3/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	11/30/2009	8/3/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/30/2009	8/3/2012
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/26/2011	8/3/2012
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/26/2011	8/3/2012
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	4/26/2011	8/3/2012
Inactive	American Southern Home Insurance Company	626276	Agent - Property	4/26/2011	8/3/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Atlas Ins Agcy Inc	523813	Agent - Casualty	6/30/2011	8/3/2012
Inactive	Atlas Ins Agcy Inc	523813	Agent - Property	6/30/2011	8/3/2012