DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tomack, Keli Anne	DOIID	1042458	NAIC NPN	2607706

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/3/2019		5/31/2027
Active	Non Resident	Agent	Casualty	6/3/2019		5/31/2027
* 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	03/15/2025	05/31/2025	04/16/2025	04/16/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Property Casualty Company	300621	Agent - Casualty	6/14/2019
Active	AIG Property Casualty Company	300621	Agent - Property	6/14/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/1/2021	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/1/2021	12/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Edgewood Partners Insurance Center	549891	Agent - Casualty	6/14/2019
Active	Edgewood Partners Insurance Center	549891	Agent - Property	6/14/2019