DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Costa, Keri Lee	DOIID	1145134	NAIC NPN	19980899

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/15/2021		7/31/2025
Active	Non Resident	Agent	Property	7/15/2021		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Spinnaker Insurance Company	300099	Agent - Casualty	8/6/2021
Active	Spinnaker Insurance Company	300099	Agent - Property	8/6/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Simply Business, LLC	962617	Agent - Casualty	10/28/2021
Active	Simply Business, LLC	962617	Agent - Property	10/28/2021