DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bailey, Karen C	DOIID	890686	NAIC NPN	1595181

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/10/2015	6/6/2019
Inactive	Non Resident	Agent	Property	9/10/2015	6/6/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/29/2015	6/6/2019
* 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	Zurich American Insurance Company	301121	Agent - Casualty	3/17/2016	6/6/2019
Inactive	Zurich American Insurance Company	301121	Agent - Property	3/17/2016	6/6/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Florida Inc	652212	Agent - Casualty	10/10/2017	11/8/2018
Inactive	Willis Of Florida Inc	652212	Agent - Property	10/10/2017	11/8/2018
Inactive	Willis Of Florida Inc	652212	Surplus Lines Broker - Not Applicable	10/10/2017	11/8/2018
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Casualty	3/18/2016	10/10/2017
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Property	3/18/2016	10/10/2017
Inactive	Willis Towers Watson Southeast Inc	399919	Surplus Lines Broker - Not Applicable	3/18/2016	10/10/2017