DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Norberg, Jacey Keller	DOIID	1025296	NAIC NPN	7064643

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/14/2019		6/30/2026
Active	Non Resident	Agent	Property	1/14/2019		6/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/14/2019		6/30/2026
* 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	04/15/2026	06/30/2026
Surplus Lines Broker	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	4/1/2021
Active	ACE American Insurance Company	300625	Agent - Property	4/1/2021
Active	American Reliable Insurance Company	301889	Agent - Casualty	7/30/2025
Active	American Reliable Insurance Company	301889	Agent - Property	7/30/2025
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/1/2021
Active	Indemnity Insurance Company of North America	301760	Agent - Property	4/1/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Risk Placement Services Inc	509419	Agent - Casualty	4/19/2024
Active	Risk Placement Services Inc	509419	Agent - Property	4/19/2024
Active	Risk Placement Services Inc	509419	Surplus Lines Broker - Not Applicable	2/5/2019