DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kingery, Rebecca	DOIID	877596	NAIC NPN	6423886

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/3/2015	12/31/2018
Inactive	Non Resident	Agent	Casualty	11/3/2015	12/31/2018
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/11/2015	12/31/2018
* 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	Blackboard Insurance Company	301640	Agent - Casualty	9/15/2017	12/31/2018
Inactive	Blackboard Insurance Company	301640	Agent - Property	9/15/2017	12/31/2018
Inactive	Plaza Insurance Company	300748	Agent - Casualty	10/10/2017	12/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dovetail Managing General Agency Corporation	778936	Agent - Property	10/17/2016	5/10/2018
Inactive	Dovetail Managing General Agency Corporation	778936	Agent - Casualty	10/17/2016	5/10/2018