DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Susie Marie	DOIID	1293481	NAIC NPN	17450835

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/22/2023		9/30/2025
Active	Non Resident	Agent	Casualty	8/22/2023		9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Markel American Insurance Company	300377	Agent - Casualty	8/23/2023
Active	Markel American Insurance Company	300377	Agent - Property	8/23/2023
Active	Markel Insurance Company	301475	Agent - Casualty	8/23/2023
Active	Markel Insurance Company	301475	Agent - Property	8/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	K & K Insurance Group Inc	513466	Agent - Casualty	8/24/2023
Active	K & K Insurance Group Inc	513466	Agent - Property	8/24/2023