DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ainsworth, Melissa Katherine	DOIID	1330926	NAIC NPN	17008457

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/21/2024		6/30/2025
Active	Non Resident	Agent	Property	3/21/2024		6/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/21/2024		6/30/2025
* 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	04/15/2025	06/30/2025
Surplus Lines Broker	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	7/1/2024
Active	Berkley Regional Insurance Company	300920	Agent - Property	7/1/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Intrepid Direct Ins Agency LLC	931179	Agent - Casualty	7/1/2024
Active	Intrepid Direct Ins Agency LLC	931179	Agent - Property	7/1/2024
Active	Intrepid Direct Ins Agency LLC	931179	Surplus Lines Broker - Not Applicable	4/12/2024