DEPARTMENT OF INSURANCE

Affiliations

Name	Kiatoukaysy, Kong	DOIID	788726	NAIC NPN	8845694

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/16/2012	4/30/2021
Inactive	Non Resident	Agent	Property	3/28/2017	4/30/2021
* 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	American Family Home Insurance Company	301817	Agent - Casualty	10/23/2014	3/19/2015
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/23/2014	3/19/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/2/2014	3/19/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/2/2014	3/19/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/2/2014	3/19/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/2/2014	3/19/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	4/2/2014	3/19/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Property	4/2/2014	3/19/2015
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	6/8/2015	7/29/2016
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	6/8/2015	7/29/2016
Inactive	Esurance Insurance Company	301072	Agent - Casualty	4/22/2014	3/11/2015
Inactive	Esurance Insurance Company	301072	Agent - Property	4/22/2014	3/11/2015
Inactive	Farmington Casualty Company	301137	Agent - Casualty	6/8/2015	7/29/2016
Inactive	Farmington Casualty Company	301137	Agent - Property	6/8/2015	7/29/2016
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	7/15/2014	12/17/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	7/15/2014	12/17/2014
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	6/8/2015	7/29/2016
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	6/8/2015	7/29/2016
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	6/8/2015	7/29/2016
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	6/8/2015	7/29/2016
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	6/8/2015	7/29/2016
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	6/8/2015	7/29/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/8/2015	7/29/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/8/2015	7/29/2016
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/8/2015	7/29/2016
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/8/2015	7/29/2016
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	6/8/2015	11/9/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	6/8/2015	7/29/2016
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	6/8/2015	7/29/2016
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	6/8/2015	7/29/2016
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/8/2015	7/29/2016
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	6/8/2015	7/29/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/8/2015	7/29/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/8/2015	7/29/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	6/8/2015	7/29/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	6/8/2015	7/29/2016
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	6/8/2015	7/29/2016
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	6/8/2015	7/29/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	6/8/2015	7/29/2016
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	6/8/2015	7/29/2016
Denied	Usi Insurance Services LLC	669260	Agent - Property
Denied	Usi Insurance Services LLC	669260	Agent - Casualty
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	4/2/2014	3/10/2015
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	4/2/2014	3/10/2015