DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kielty, Samuel Beck	DOIID	1017469	NAIC NPN	16839125

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/31/2018		8/31/2025
Active	Non Resident	Agent	Property	10/31/2018		8/31/2025
* 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	Electric Insurance Company	301758	Agent - Casualty	11/5/2018
Active	Electric Insurance Company	301758	Agent - Property	11/5/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/27/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/27/2019
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/10/2018
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/10/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Electric Insurance Agency, LLC	521813	Agent - Property	11/7/2018
Active	Electric Insurance Agency, LLC	521813	Agent - Casualty	11/7/2018