DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hartleben, Kelly	DOIID	1024724	NAIC NPN	8164701

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/8/2019	7/31/2022
Inactive	Non Resident	Agent	Property	1/8/2019	7/31/2022
* 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	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	8/27/2019	7/20/2020
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	7/31/2019	7/31/2022
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	7/31/2019	7/31/2022
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	8/27/2019	7/20/2020
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	8/27/2019	7/20/2020
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	8/27/2019	7/20/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Usi Insurance Services LLC	669260	Agent - Casualty
Denied	Usi Insurance Services LLC	669260	Agent - Property