DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Code, Delia K	DOIID	1153029	NAIC NPN	20027824

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/20/2021	8/8/2023
Inactive	Non Resident	Agent	Casualty	8/20/2021	8/8/2023
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	8/25/2021	9/17/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/25/2021	9/17/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	8/25/2021	9/14/2021
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	8/25/2021	9/17/2021