DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Story, Keely M	DOIID	1295565	NAIC NPN	16361430

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/31/2023		10/31/2026
Active	Non Resident	Agent	Property	8/31/2023		10/31/2026
* 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	08/15/2024	10/31/2024	09/30/2024	09/30/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/22/2024
Active	Bristol West Insurance Company	301655	Agent - Property	1/22/2024
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/25/2024
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/25/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/22/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Btj Ins Inc	974534	Agent - Casualty
Denied	Btj Ins Inc	974534	Agent - Property