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	Property	3/22/2001	11/30/2025
Active	Resident	Agent	Casualty	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.

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