DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Phillips, Kelly Marie	DOIID	1135874	NAIC NPN	19859923

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/24/2021		9/30/2026
Active	Non Resident	Agent	Property	5/24/2021		9/30/2026
* 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	07/15/2024	09/30/2024	07/02/2024	07/02/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	6/4/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	6/4/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Atlas Ins Agcy Inc	523813	Agent - Casualty	6/7/2021
Active	Atlas Ins Agcy Inc	523813	Agent - Property	6/7/2021