DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Agee, Polly Ann	DOIID	871674	NAIC NPN	6766858

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/10/2015	6/18/2019
Inactive	Non Resident	Agent	Life	3/10/2015	6/18/2019
Inactive	Non Resident	Agent	Casualty	3/10/2015	6/18/2019
Inactive	Non Resident	Agent	Property	3/10/2015	6/18/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/10/2015	6/18/2019
* 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	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	4/24/2015	6/18/2019
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/24/2015	6/18/2019
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	4/24/2015	6/18/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Risk Specialists Companies Ins Agency Inc	669694	Agent - Health	4/29/2015	6/18/2019
Inactive	Risk Specialists Companies Ins Agency Inc	669694	Agent - Property	4/29/2015	6/18/2019
Inactive	Risk Specialists Companies Ins Agency Inc	669694	Agent - Casualty	4/29/2015	6/18/2019
Inactive	Risk Specialists Companies Ins Agency Inc	669694	Surplus Lines Broker - Not Applicable	4/29/2015	6/18/2019