DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Simmons, Camelda Kaye	DOIID	852317	NAIC NPN	1212632

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/16/2014	7/31/2017
Inactive	Non Resident	Agent	Property	9/16/2014	7/31/2017
* 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	Ohio Indemnity Company	301745	Agent - Casualty	9/18/2014	4/6/2015
Inactive	Ohio Indemnity Company	301745	Agent - Property	9/18/2014	4/6/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kubota Tractor Acceptance Corporation	643991	Agent - Property	9/24/2014	4/6/2015
Inactive	Kubota Tractor Acceptance Corporation	643991	Agent - Casualty	9/24/2014	4/6/2015