DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brock, Kelli Marie	DOIID	1050575	NAIC NPN	3127246

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/7/2019		8/31/2027
Active	Non Resident	Agent	Property	8/7/2019		8/31/2027
* 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	Zurich American Insurance Company	301121	Agent - Casualty	8/9/2019
Active	Zurich American Insurance Company	301121	Agent - Property	8/9/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Youzoom Insurance Services, Inc.	788817	Agent - Casualty	8/9/2019
Active	Youzoom Insurance Services, Inc.	788817	Agent - Property	8/9/2019