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.

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