DEPARTMENT OF INSURANCE

Affiliations

Name	Mays, Karen L	DOIID	880425	NAIC NPN	3667757

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/13/2015	5/31/2027
Active	Non Resident	Agent	Health	6/13/2015	5/31/2027
Active	Non Resident	Agent	Property	6/13/2015	5/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/13/2015	5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025	03/31/2025	03/31/2025	Yes
Surplus Lines Broker	03/15/2025	05/31/2025	03/31/2025	03/31/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	ACE American Insurance Company	300625	Agent - Casualty	6/16/2015
Active	ACE American Insurance Company	300625	Agent - Health	6/16/2015
Active	ACE American Insurance Company	300625	Agent - Property	6/16/2015
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	6/16/2015
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	6/16/2015
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/16/2015
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/16/2015
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	6/16/2015
Active	Bankers Standard Insurance Company	301620	Agent - Property	6/16/2015
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	1/31/2017
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	1/31/2017
Active	Chubb National Insurance Company	301392	Agent - Casualty	1/31/2017
Active	Chubb National Insurance Company	301392	Agent - Property	1/31/2017
Active	Executive Risk Indemnity Inc.	301510	Agent - Casualty	1/31/2017
Active	Federal Insurance Company	301144	Agent - Casualty	1/31/2017
Active	Federal Insurance Company	301144	Agent - Health	1/31/2017
Active	Federal Insurance Company	301144	Agent - Property	1/31/2017
Active	Great Northern Insurance Company	301107	Agent - Casualty	1/31/2017
Active	Great Northern Insurance Company	301107	Agent - Property	1/31/2017
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/16/2015
Active	Indemnity Insurance Company of North America	301760	Agent - Property	6/16/2015
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	6/16/2015
Active	Pacific Employers Insurance Company	301753	Agent - Property	6/16/2015
Active	Pacific Indemnity Company	301610	Agent - Casualty	1/31/2017
Active	Pacific Indemnity Company	301610	Agent - Property	1/31/2017
Active	Vigilant Insurance Company	301143	Agent - Casualty	1/31/2017
Active	Vigilant Insurance Company	301143	Agent - Property	1/31/2017
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	6/16/2015
Active	Westchester Fire Insurance Company	300990	Agent - Property	6/16/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Chubb Insurance Solutions Agency Inc.	505858	Agent - Casualty	5/10/2017
Active	Chubb Insurance Solutions Agency Inc.	505858	Agent - Property	5/10/2017
Active	Chubb Insurance Solutions Agency Inc.	505858	Agent - Health	5/10/2017
Active	Chubb Insurance Solutions Agency Inc.	505858	Surplus Lines Broker - Not Applicable	5/10/2017