DEPARTMENT OF INSURANCE

Name	Roundy, Kayla	DOIID	933266	NAIC NPN	18144349

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Health
Inactive	Non Resident	Agent	Property	6/14/2018	8/31/2020
Inactive	Non Resident	Agent	Casualty	6/14/2018	8/31/2020

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	5428 Midland Dr Roy, UT 840679273

Phone Information

Type	Phone
Business / Home Office	(406) 381-9134