DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	KCAS LLC	DOIID	820052	NAIC NPN	17055987

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/9/2013	3/31/2017
Inactive	Resident	Agent	Health	9/9/2013	3/31/2017
* 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	Kentucky Health Cooperative, Inc.	798780	Agent - Health	12/16/2013	10/29/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	McDevitt, Randall Rodger	316609	Agent - Health	9/9/2013	3/31/2017
Inactive	McDevitt, Randall Rodger	316609	Agent - Life	9/9/2013	3/31/2017