DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tomack, Keli Anne	DOIID	1042458	NAIC NPN	2607706

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/3/2019		5/31/2027
Active	Non Resident	Agent	Casualty	6/3/2019		5/31/2027
* 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
Active	AIG Property Casualty Company	300621	Agent - Casualty	6/14/2019
Active	AIG Property Casualty Company	300621	Agent - Property	6/14/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/1/2021	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/1/2021	12/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Edgewood Partners Insurance Center	549891	Agent - Casualty	6/14/2019
Active	Edgewood Partners Insurance Center	549891	Agent - Property	6/14/2019