DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brock, Kelli Marie	DOIID	1050575	NAIC NPN	3127246

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/7/2019		8/31/2027
Active	Non Resident	Agent	Property	8/7/2019		8/31/2027
* 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	06/15/2025	08/31/2025	06/06/2025	06/06/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Zurich American Insurance Company	301121	Agent - Casualty	8/9/2019
Active	Zurich American Insurance Company	301121	Agent - Property	8/9/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Youzoom Insurance Services, Inc.	788817	Agent - Casualty	8/9/2019
Active	Youzoom Insurance Services, Inc.	788817	Agent - Property	8/9/2019