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	5/31/2025
Active	Non Resident	Agent	Health	6/13/2015	5/31/2025
Active	Non Resident	Agent	Property	6/13/2015	5/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/13/2015	5/31/2025
* 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
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