DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Montcrieffe, Evelina Katherina	DOIID	996826	NAIC NPN	18727642

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/6/2018		8/31/2026
Active	Non Resident	Agent	Casualty	6/6/2018		8/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/16/2018		8/31/2026
* 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
Active	Integon National Insurance Company	301600	Agent - Casualty	4/12/2019
Active	Integon National Insurance Company	301600	Agent - Property	4/12/2019
Active	MIC General Insurance Corporation	300398	Agent - Casualty	4/12/2019
Active	MIC General Insurance Corporation	300398	Agent - Property	4/12/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	NGLS Insurance Services , Inc	399928	Agent - Property	4/12/2019
Active	NGLS Insurance Services , Inc	399928	Agent - Casualty	4/12/2019
Active	NGLS Insurance Services , Inc	399928	Surplus Lines Broker - Not Applicable	3/25/2019
Active	Seattle Specialty Ins Services Inc	611726	Agent - Property	4/12/2019
Active	Seattle Specialty Ins Services Inc	611726	Agent - Casualty	4/12/2019
Active	Seattle Specialty Ins Services Inc	611726	Surplus Lines Broker - Not Applicable	3/25/2019