DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Petrash, Kenan Cope	DOIID	977950	NAIC NPN	16118091

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/30/2017	7/31/2019
Inactive	Non Resident	Agent	Life	11/30/2017	7/31/2019
* 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	Guardian Life Insurance Company of America	301316	Agent - Health	12/29/2017	7/31/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/29/2017	7/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Eoi Service Company LLC	875860	Agent - Life	12/29/2017	7/31/2019
Inactive	Eoi Service Company LLC	875860	Agent - Health	12/29/2017	7/31/2019