DEPARTMENT OF INSURANCE

Affiliations

Name	Tieman, Kelly Lynn	DOIID	521420	NAIC NPN	2207299

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	3/22/2001	11/30/2025
Active	Resident	Agent	Property	3/22/2001	11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	4/17/2015
Active	ACE American Insurance Company	300625	Agent - Property	4/17/2015
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	6/30/2011	12/20/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	6/30/2011	12/20/2023
Active	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/8/2019
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2011	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/7/2011	10/15/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/28/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/28/2015	11/14/2021
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	4/17/2015
Active	Bankers Standard Insurance Company	301620	Agent - Property	4/17/2015
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/29/2013	12/4/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/29/2013	12/4/2017
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	1/27/2021	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	1/27/2021	10/3/2024
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	7/31/2007
Active	Fireman's Fund Insurance Company	301423	Agent - Property	7/31/2007
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/15/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/29/2013
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/29/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	10/15/2021
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/17/2015
Active	Indemnity Insurance Company of North America	301760	Agent - Property	4/17/2015
Active	MICO Insurance Company	301664	Agent - Casualty	4/19/2022
Active	MICO Insurance Company	301664	Agent - Property	4/19/2022
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/16/2001
Active	Motorists Mutual Insurance Company	300963	Agent - Property	8/16/2001
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/22/2001
Active	Ohio Casualty Insurance Company	301492	Agent - Property	3/22/2001
Active	Ohio Security Insurance Company	300622	Agent - Casualty	6/30/2022
Active	Ohio Security Insurance Company	300622	Agent - Property	6/30/2022
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	4/17/2015
Active	Pacific Employers Insurance Company	301753	Agent - Property	4/17/2015
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008
Active	West American Insurance Company	301112	Agent - Casualty	12/7/2011
Active	West American Insurance Company	301112	Agent - Property	12/7/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	C A I Insurance Agency Inc	401163	Agent - Property	2/10/2003
Active	C A I Insurance Agency Inc	401163	Agent - Casualty	2/10/2003