DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Robert Michael	DOIID	305914	NAIC NPN	3632091

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	7/14/1999	7/14/2000
Inactive	Non Resident	Independent Adjuster	Property & Casualty	2/22/2017	9/30/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Broadspire Services, Inc.	396187	Independent Adjuster - Property & Casualty	3/1/2017	9/30/2019