DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Property	7/15/2021		7/31/2027
Active	Non Resident	Agent	Casualty	7/15/2021		7/31/2027
* 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	05/15/2025	07/31/2025	05/19/2025	05/19/2025	Yes

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