DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Verville, Kaylea M	DOIID	729859	NAIC NPN	15649518

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/12/2018	8/31/2021
Inactive	Non Resident	Agent	Life	10/12/2018	8/31/2021
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/22/2018	8/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/22/2018	8/31/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/31/2010	8/31/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/31/2010	8/31/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/31/2010	8/31/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/31/2010	8/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/26/2018	8/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/26/2018	8/31/2021
Inactive	Usi Insurance Services LLC	669260	Agent - Life	11/22/2018	7/22/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Health	11/22/2018	7/22/2019