DEPARTMENT OF INSURANCE

Affiliations

Name	Kayse Kaelin Agency Inc	DOIID	574124	NAIC NPN	4558047

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/4/2003	3/31/2027
Active	Non Resident	Agent	Casualty	9/4/2003	3/31/2027
Active	Non Resident	Agent	Life	9/4/2003	3/31/2027
Active	Non Resident	Agent	Property	9/4/2003	3/31/2027
* 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	4/25/2019
Active	ACE American Insurance Company	300625	Agent - Property	4/25/2019
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	4/25/2019	10/11/2020
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	4/25/2019	10/11/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	4/25/2019	10/11/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	4/25/2019	10/11/2020
Active	Allstate Indemnity Company	300778	Agent - Casualty	9/8/2003
Active	Allstate Indemnity Company	300778	Agent - Property	9/8/2003
Active	Allstate Insurance Company	300773	Agent - Casualty	9/8/2003
Active	Allstate Insurance Company	300773	Agent - Property	9/8/2003
Active	Allstate North America Insurance Company	1121481	Agent - Casualty	1/30/2025
Active	Allstate North America Insurance Company	1121481	Agent - Property	1/30/2025
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/17/2014
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/17/2014
Active	American Family Home Insurance Company	301817	Agent - Casualty	2/26/2024
Active	American Family Home Insurance Company	301817	Agent - Property	2/26/2024
Active	American Modern Home Insurance Company	300791	Agent - Casualty	12/14/2021
Active	American Modern Home Insurance Company	300791	Agent - Property	12/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	12/2/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	12/2/2021
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Casualty	7/16/2021	3/8/2023
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Property	7/16/2021	3/8/2023
Active	Everlake Assurance Company	300203	Agent - Life	12/17/2014
Active	Everlake Life Insurance Company	300873	Agent - Health	9/8/2003
Active	Everlake Life Insurance Company	300873	Agent - Life	9/8/2003
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/25/2019
Active	Indemnity Insurance Company of North America	301760	Agent - Property	4/25/2019
Active	Lincoln Benefit Life Company	301110	Agent - Health	10/29/2008
Active	Lincoln Benefit Life Company	301110	Agent - Life	10/29/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Fuquay, Erin Nicole	1290341	Agent - Casualty
Denied	Fuquay, Erin Nicole	1290341	Agent - Property
Active	Futter, Olivia N	966414	Agent - Casualty	3/6/2018
Denied	Futter, Olivia N	966414	Agent - Health
Denied	Futter, Olivia N	966414	Agent - Life
Active	Futter, Olivia N	966414	Agent - Property	3/6/2018
Inactive	Hayden, Sally T	952189	Agent - Casualty	6/6/2017	7/10/2020
Inactive	Hayden, Sally T	952189	Agent - Property	6/6/2017	7/10/2020
Active	Kaelin, Shannon R	830441	Agent - Casualty	1/9/2014
Denied	Kaelin, Shannon R	830441	Agent - Health
Denied	Kaelin, Shannon R	830441	Agent - Life
Active	Kaelin, Shannon R	830441	Agent - Property	1/9/2014
Active	Kayse, Kenneth Eugene	385089	Agent - Casualty	9/4/2003
Active	Kayse, Kenneth Eugene	385089	Agent - Health	9/4/2003
Active	Kayse, Kenneth Eugene	385089	Agent - Life	9/4/2003
Active	Kayse, Kenneth Eugene	385089	Agent - Property	9/4/2003
Denied	Pierce, Tanja R	326901	Agent - Casualty
Denied	Pierce, Tanja R	326901	Agent - Property
Inactive	Wooten, Tiffany	958128	Agent - Casualty	7/6/2017	2/5/2019
Inactive	Wooten, Tiffany	958128	Agent - Property	7/6/2017	2/5/2019