DEPARTMENT OF INSURANCE

Affiliations

Name	Helms, Kasey Ann	DOIID	746613	NAIC NPN	9261536

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	1/24/2011	9/30/2012
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	10/22/2012	9/30/2016
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brentwood Serv Administrators Inc	397924	Administrator - Not Applicable	2/1/2011	8/29/2012