DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rogers, Kacey Marie	DOIID	829588	NAIC NPN	16984964

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/13/2013	9/1/2015
Inactive	Non Resident	Agent	Property	11/25/2014	9/1/2015
* 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	CAMICO Mutual Insurance Company	517952	Agent - Casualty	1/8/2014	4/22/2015
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	5/13/2014	9/1/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	5/13/2014	9/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Camico Services, Inc.	510811	Agent - Casualty	7/9/2014	9/1/2015