DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bergmann, Kathleen Jean	DOIID	719167	NAIC NPN	12933572

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/4/2009	12/6/2010
Inactive	Non Resident	Agent	Casualty	12/4/2009	12/6/2010
Inactive	Non Resident	Agent	Property	12/4/2009	12/6/2010
* 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	AMEX Assurance Company	301728	Agent - Casualty	12/17/2009	2/23/2010
Inactive	AMEX Assurance Company	301728	Agent - Health	12/17/2009	2/23/2010
Inactive	AMEX Assurance Company	301728	Agent - Property	12/17/2009	2/23/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	APAC Customer Services Inc	505425	Agent - Health	12/30/2009	2/19/2010
Inactive	APAC Customer Services Inc	505425	Agent - Property	12/30/2009	2/19/2010
Inactive	APAC Customer Services Inc	505425	Agent - Casualty	12/30/2009	2/19/2010