DEPARTMENT OF INSURANCE

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.

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