DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
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
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	11/5/2018	1/23/2025
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	11/5/2018	1/23/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	RiverStone Internation U.S., LLC	521813	Agent - Property	11/7/2018	1/27/2025
Inactive	RiverStone Internation U.S., LLC	521813	Agent - Casualty	11/7/2018	1/27/2025