DEPARTMENT OF INSURANCE

Affiliations

Name	Kelley, Lisa Nichole	DOIID	1162388	NAIC NPN	19656459

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/5/2023		1/31/2026
Active	Non Resident	Agent	Casualty	1/5/2023		1/31/2026
Inactive	Non Resident	Agent	Personal Lines	9/28/2021	6/21/2023
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/10/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/10/2024
Inactive	Government Employees Insurance Company	300376	Agent - Personal Lines	10/4/2021	6/21/2023
Active	Homesite Insurance Company	301139	Agent - Casualty	10/17/2023
Inactive	Homesite Insurance Company	301139	Agent - Personal Lines	1/2/2022	6/21/2023
Active	Homesite Insurance Company	301139	Agent - Property	10/17/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	10/17/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Personal Lines	1/2/2022	6/21/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	10/17/2023
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Personal Lines	10/13/2021	1/3/2023
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	12/31/2024
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Property	12/31/2024
Active	Midvale Indemnity Company	300292	Agent - Casualty	1/18/2023
Active	Midvale Indemnity Company	300292	Agent - Property	1/18/2023
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	1/20/2023	8/2/2023
Inactive	Ohio Security Insurance Company	300622	Agent - Property	1/20/2023	8/2/2023
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	5/24/2025
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	5/24/2025
Inactive	Wellfleet Insurance Company	300542	Agent - Casualty	1/31/2023	8/3/2023
Inactive	Wellfleet Insurance Company	300542	Agent - Property	1/31/2023	8/3/2023
Inactive	Wellfleet New York Insurance Company	300245	Agent - Casualty	1/31/2023	8/3/2023
Inactive	Wellfleet New York Insurance Company	300245	Agent - Property	1/31/2023	8/3/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Personal Lines	10/4/2021	2/27/2023
Active	Geico Insurance Agency, LLC	558517	Agent - Casualty	3/2/2023
Active	Geico Insurance Agency, LLC	558517	Agent - Property	3/2/2023