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	Property	1/14/2019		6/30/2026
Active	Non Resident	Agent	Casualty	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.

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	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