DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelsey, Todd A	DOIID	353044	NAIC NPN	238217

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/7/2010	9/22/2015
Inactive	Non Resident	Agent	Property	12/7/2010	9/22/2015
Inactive	Non Resident	Agent	General Lines	6/11/1993	12/9/1997
* 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	Aspen American Insurance Company	301513	Agent - Casualty	8/11/2011	12/31/2013
Inactive	Aspen American Insurance Company	301513	Agent - Property	8/11/2011	12/31/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/1/2013	7/7/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/1/2013	7/7/2014
Inactive	Carolina Casualty Insurance Company	300271	Agent - General Lines	6/11/1993	12/9/1997
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	6/23/2014	9/16/2015
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	6/23/2014	9/16/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/1/2013	7/7/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/1/2013	7/7/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	7/1/2013	7/7/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	7/1/2013	7/7/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	7/1/2013	7/7/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	7/1/2013	7/7/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	5/17/2014	9/16/2015
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	5/17/2014	9/16/2015