DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Santibanez, Kristy	DOIID	982302	NAIC NPN	18295881

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/23/2018	1/10/2022
Inactive	Non Resident	Agent	Casualty	1/23/2018	1/10/2022
Active	Non Resident	Staff Adjuster	Property & Casualty	3/18/2022		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
Staff Adjuster	03/15/2025	05/31/2025	04/07/2025	04/07/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/25/2021	3/15/2021
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	1/25/2021	3/15/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Awl Insurance Agency Inc	945504	Agent - Casualty
Denied	Awl Insurance Agency Inc	945504	Agent - Property
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	1/25/2021	3/15/2021
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	1/25/2021	3/15/2021