DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Baughn, Kevin J	DOIID	726636	NAIC NPN	7079939

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/16/2010	5/18/2018
Inactive	Non Resident	Agent	Casualty	4/16/2010	5/18/2018
Inactive	Non Resident	Agent	Health	4/16/2010	5/18/2018
Inactive	Non Resident	Agent	Property	4/16/2010	5/18/2018
* 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 Security Insurance Company	301228	Agent - Casualty	10/7/2011	4/14/2015
Inactive	Great American Security Insurance Company	301228	Agent - Property	10/7/2011	4/14/2015
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	2/7/2014	5/18/2018
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	2/7/2014	5/18/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Safehold Special Risk, Inc	658217	Agent - Property	9/21/2012	3/14/2017
Inactive	Safehold Special Risk, Inc	658217	Agent - Casualty	9/21/2012	3/14/2017