DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Kimberly Dawn	DOIID	1035829	NAIC NPN	8150911

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/8/2019		10/31/2024
Active	Non Resident	Agent	Property	4/8/2019		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Harleysville Insurance Company	301462	Agent - Casualty	7/8/2019
Active	Harleysville Insurance Company	301462	Agent - Property	7/8/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hub International Ins Services Inc	609910	Agent - Casualty	7/8/2019
Active	Hub International Ins Services Inc	609910	Agent - Property	7/8/2019