DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Deavers, Kay Ann	DOIID	941709	NAIC NPN	7327113

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/10/2017		7/31/2025
Active	Non Resident	Agent	Casualty	1/10/2017		7/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/10/2017		7/31/2025
* 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	05/15/2025	07/31/2025
Surplus Lines Broker	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Great American Insurance Company	301586	Agent - Casualty	9/21/2017	4/29/2019
Inactive	Great American Insurance Company	301586	Agent - Property	9/21/2017	4/29/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	9/21/2017	4/29/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Property	9/21/2017	4/29/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	CRC Ins Services, LLC	502276	Agent - Property
Denied	CRC Ins Services, LLC	502276	Agent - Casualty
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022