DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, David P	DOIID	563543	NAIC NPN	6372835

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/27/2003	7/27/2006
Denied	Resident	Apprentice Adjuster	Not Applicable
Inactive	Resident	Independent Adjuster	Property & Casualty	1/26/2010	7/1/2010
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	11/30/2022
* 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	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/24/2003	12/16/2004
Inactive	Western National Life Insurance Company	300461	Agent - Life	2/13/2003	2/19/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Natcity Insurance Services Inc.	400871	Agent - Life	4/17/2003	12/16/2004
Inactive	Progressive Casualty Insurance Company	300696	Independent Adjuster - Property & Casualty	2/10/2010	7/1/2010
Inactive	Progressive Casualty Insurance Company	300696	Staff Adjuster - Property & Casualty	7/1/2010	11/30/2022

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Castle, Deborah A	324022	Apprentice Adjuster - Not Applicable