DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	M J Kelly Co	DOIID	1023245	NAIC NPN	2109545

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/21/2018	8/15/2021
Inactive	Non Resident	Agent	Casualty	12/21/2018	8/15/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/21/2018	8/15/2021
* 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	ACE American Insurance Company	300625	Agent - Casualty	12/29/2019	8/15/2021
Inactive	ACE American Insurance Company	300625	Agent - Property	12/29/2019	8/15/2021
Inactive	Berkley Casualty Company	300731	Agent - Casualty	7/29/2019	8/15/2021
Inactive	Berkley Casualty Company	300731	Agent - Property	7/29/2019	8/15/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ware, Roger B	705415	Agent - Casualty	12/21/2018	8/15/2021
Inactive	Ware, Roger B	705415	Agent - Property	12/21/2018	8/15/2021
Inactive	Ware, Roger B	705415	Surplus Lines Broker - Not Applicable	12/21/2018	3/30/2023