DEPARTMENT OF INSURANCE

Affiliations

Name	Washington, Keondray Terrell	DOIID	754721	NAIC NPN	9060650

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/30/2021		8/31/2024
Active	Non Resident	Agent	Property	6/30/2021		8/31/2024
Inactive	Non Resident	Agent	Health	9/8/2015	8/31/2020
Inactive	Non Resident	Agent	Life	9/8/2015	8/31/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/14/2015	10/21/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/14/2015	10/21/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/14/2015	10/21/2016
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	10/15/2021	11/4/2022
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	10/15/2021	11/4/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/5/2023	4/26/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/5/2023	4/26/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/2/2021	3/22/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/2/2021	3/22/2023
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	5/21/2018	2/27/2019
Inactive	Praetorian Insurance Company	301021	Agent - Property	5/21/2018	2/27/2019
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	5/21/2018	2/27/2019
Inactive	QBE Insurance Corporation	300515	Agent - Property	5/21/2018	2/27/2019
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/15/2021	3/20/2023
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	10/15/2021	3/20/2023
Inactive	Tesla Insurance Company	300337	Agent - Casualty	7/8/2011	5/7/2012
Inactive	Tesla Insurance Company	300337	Agent - Property	7/8/2011	5/7/2012
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Casualty	7/8/2011	11/18/2011
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Property	7/8/2011	11/18/2011
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	10/15/2021	11/4/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Property	10/15/2021	11/4/2022
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	10/15/2021	11/4/2022
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	10/15/2021	11/4/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Casualty	7/8/2011	5/7/2012
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Property	7/8/2011	5/7/2012
Inactive	Blend Insurance Agency, Inc.	987571	Agent - Casualty	4/27/2022	3/16/2023
Inactive	Blend Insurance Agency, Inc.	987571	Agent - Property	4/27/2022	3/16/2023
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Casualty	5/21/2018	2/27/2019
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Property	5/21/2018	2/27/2019