DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keovongsa, Phoutnakhone	DOIID	788522	NAIC NPN	16390392

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/15/2012	11/30/2014
Inactive	Non Resident	Agent	Property	8/15/2012	11/30/2014
* 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	ACE American Insurance Company	300625	Agent - Casualty	8/24/2012	12/10/2014
Inactive	ACE American Insurance Company	300625	Agent - Property	8/24/2012	12/10/2014
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	8/24/2012	12/10/2014
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	8/24/2012	12/10/2014
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/24/2012	12/10/2014
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/24/2012	12/10/2014
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	8/24/2012	12/10/2014
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	8/24/2012	12/10/2014
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/24/2012	12/10/2014
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	8/24/2012	12/10/2014
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	8/24/2012	11/30/2014
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	8/24/2012	12/10/2014
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	8/24/2012	12/10/2014
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	8/24/2012	12/10/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	9/4/2012	2/25/2013
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	9/4/2012	2/25/2013