DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Evon, Adrian	DOIID	770139	NAIC NPN	16450754

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/5/2011	4/3/2014
Inactive	Non Resident	Agent	Property	12/5/2011	4/3/2014
Inactive	Non Resident	Agent	Casualty	12/5/2011	4/3/2014
* 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	AMEX Assurance Company	301728	Agent - Casualty	12/12/2011	1/11/2013
Inactive	AMEX Assurance Company	301728	Agent - Health	12/12/2011	1/11/2013
Inactive	AMEX Assurance Company	301728	Agent - Property	12/12/2011	1/11/2013
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	1/29/2013	10/29/2013
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	1/29/2013	10/29/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	APAC Customer Services Inc	505425	Agent - Health	12/13/2011	1/11/2013
Inactive	APAC Customer Services Inc	505425	Agent - Property	12/13/2011	1/11/2013
Inactive	APAC Customer Services Inc	505425	Agent - Casualty	12/13/2011	1/11/2013