DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grimstead, Kelli Lee	DOIID	1208299	NAIC NPN	17927297

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/1/2022		2/28/2025
Active	Non Resident	Agent	Property	6/1/2022		2/28/2025
* 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
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/22/2022	10/25/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/22/2022	10/25/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/22/2022	10/25/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/22/2022	10/25/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/22/2022	10/25/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/22/2022	10/25/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Polly Insurance Agency, LLC	992125	Agent - Casualty	6/22/2022	9/23/2022
Inactive	Polly Insurance Agency, LLC	992125	Agent - Property	6/22/2022	9/23/2022