DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kerby, Evelyn Ray	DOIID	526501	NAIC NPN	5943967

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/22/2001	11/30/2016
Inactive	Non Resident	Agent	Health	5/22/2001	11/30/2016
* 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 United Life Insurance Company	300498	Agent - Health	3/31/2004	5/17/2015
Inactive	American United Life Insurance Company	300498	Agent - Life	3/31/2004	5/17/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	7/30/2012	11/30/2016
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	7/30/2012	11/30/2016
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	7/30/2012	11/30/2016
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	7/30/2012	11/30/2016
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	10/18/2006	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	10/18/2006	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/6/2006	12/30/2016
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	7/6/2006	12/30/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/22/2001	11/30/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/22/2001	11/30/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	5/20/2005	11/30/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/18/2005	11/30/2016
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	7/6/2006	7/21/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	7/6/2006	7/21/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	11/30/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	11/30/2016
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Health	6/14/2001	12/15/2015
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Life	6/14/2001	12/15/2015