DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelley III, Thomas R	DOIID	391757	NAIC NPN	7209557

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Independent Adjuster	Property & Casualty	7/16/1993		10/31/2025
* 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	Kentucky Employers Safety Assoc.	397901	Independent Adjuster - Property & Casualty	2/5/1996	8/27/1996
Inactive	Liberty Mutual Insurance Company	301159	Independent Adjuster - Property & Casualty	7/16/1993	2/5/1996
Inactive	MSI Risk Management Services, Inc	540732	Independent Adjuster - Property & Casualty	10/3/2005	7/9/2009
Active	Mitsui Sumitomo Marine Management (USA), Inc.	577409	Independent Adjuster - Property & Casualty	7/9/2009
Active	Msig Insurance Services, Inc.	1330402	Independent Adjuster - Property & Casualty	7/17/2024
Inactive	Risk Management Services Corp.	401299	Independent Adjuster - Property & Casualty	3/31/1998	2/20/2002

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hanson, Tara	1151877	Apprentice Adjuster - Not Applicable	8/17/2021	1/12/2022