DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keysor, Mary Alice	DOIID	1188157	NAIC NPN	3177249

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/15/2022		4/30/2027
Active	Non Resident	Agent	Life	2/15/2022		4/30/2027
Active	Non Resident	Agent	Casualty	2/15/2022		4/30/2027
Active	Non Resident	Agent	Health	2/15/2022		4/30/2027
* 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	02/15/2025	04/30/2025	03/04/2025	03/04/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/9/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	3/9/2022
Active	Cincinnati Insurance Company	301298	Agent - Casualty	3/18/2022
Active	Cincinnati Insurance Company	301298	Agent - Property	3/18/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	6/18/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Property	6/18/2024
Active	Ohio Security Insurance Company	300622	Agent - Casualty	6/18/2024
Active	Ohio Security Insurance Company	300622	Agent - Property	6/18/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners of Arizona LLC	981757	Agent - Casualty	3/18/2022
Active	Assuredpartners of Arizona LLC	981757	Agent - Life	3/17/2022
Active	Assuredpartners of Arizona LLC	981757	Agent - Health	3/9/2022
Active	Assuredpartners of Arizona LLC	981757	Agent - Property	3/18/2022