DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Kelsey Diane	DOIID	1055986	NAIC NPN	19254478

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/12/2019		7/31/2025
Active	Non Resident	Agent	Property	9/12/2019		7/31/2025
Active	Non Resident	Agent	Health	9/12/2019		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AMEX Assurance Company	301728	Agent - Casualty	9/18/2019	6/25/2020
Inactive	AMEX Assurance Company	301728	Agent - Health	9/18/2019	6/25/2020
Inactive	AMEX Assurance Company	301728	Agent - Property	9/18/2019	6/25/2020
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	4/16/2020
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	4/16/2020
Active	American Modern Home Insurance Company	300791	Agent - Casualty	7/12/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	7/12/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/2/2024
Active	Bristol West Insurance Company	301655	Agent - Property	1/2/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/2/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/2/2024
Active	Homesite Insurance Company	301139	Agent - Casualty	6/9/2022
Active	Homesite Insurance Company	301139	Agent - Property	6/9/2022
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	6/9/2022
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	6/9/2022
Active	Midvale Indemnity Company	300292	Agent - Casualty	6/9/2022
Active	Midvale Indemnity Company	300292	Agent - Property	6/9/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, LLC	1011657	Agent - Casualty	9/27/2019	3/31/2022
Inactive	Alorica Customer Care, LLC	1011657	Agent - Health	9/27/2019	6/25/2020
Inactive	Alorica Customer Care, LLC	1011657	Agent - Property	9/27/2019	3/31/2022
Active	Alorica Inc.	1074645	Agent - Casualty	3/13/2020
Inactive	Alorica Inc.	1074645	Agent - Health	3/13/2020	6/25/2020
Active	Alorica Inc.	1074645	Agent - Property	3/13/2020
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	7/6/2023
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	7/6/2023