DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Allen, Kelly Nicole	DOIID	1167195	NAIC NPN	20095771

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/18/2021		6/30/2026
Active	Non Resident	Agent	Life	9/15/2023		6/30/2026
Active	Non Resident	Agent	Health	9/15/2023		6/30/2026
Active	Non Resident	Agent	Property	10/18/2021		6/30/2026
* 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	04/15/2024	06/30/2024	06/11/2024	06/11/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/10/2021	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/10/2021	12/13/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/8/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/8/2024
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	2/21/2024
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	2/21/2024
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/21/2024
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/21/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/2/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/2/2022
Inactive	Horace Mann Life Insurance Company	300852	Agent - Health	10/6/2023	6/26/2024
Inactive	Horace Mann Life Insurance Company	300852	Agent - Life	10/6/2023	6/26/2024
Inactive	Teachers Insurance Company	301839	Agent - Casualty	10/26/2021	11/18/2021
Inactive	Teachers Insurance Company	301839	Agent - Property	10/26/2021	11/18/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Horace Mann Service Corporation	400869	Agent - Casualty	5/9/2023
Active	Horace Mann Service Corporation	400869	Agent - Property	5/9/2023