DEPARTMENT OF INSURANCE

Affiliations

Name	Kaelin, David	DOIID	587039	NAIC NPN	8033334

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	11/17/2009	10/31/2024
Active	Resident	Agent	Casualty	4/13/2004	10/31/2024
Active	Resident	Agent	Property	4/12/2004	10/31/2024
Active	Resident	Agent	Life	11/12/2009	10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Addison Insurance Company	874810	Agent - Casualty	9/7/2018	9/7/2021
Inactive	Addison Insurance Company	874810	Agent - Property	9/7/2018	9/7/2021
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	7/30/2018	1/14/2021
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	7/30/2018	1/14/2021
Active	Amerisure Insurance Company	300298	Agent - Casualty	6/20/2016
Active	Amerisure Insurance Company	300298	Agent - Property	6/20/2016
Active	Amerisure Mutual Insurance Company	301576	Agent - Casualty	6/20/2016
Active	Amerisure Mutual Insurance Company	301576	Agent - Property	6/20/2016
Active	Amerisure Partners Insurance Company	760791	Agent - Casualty	6/20/2016
Active	Amerisure Partners Insurance Company	760791	Agent - Property	6/20/2016
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	4/14/2011	5/18/2016
Inactive	Ansur America Insurance Company	520667	Agent - Property	4/14/2011	5/18/2016
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/7/2018	10/22/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	9/17/2010	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/17/2010	10/12/2020
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	3/12/2019
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/1/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/3/2010	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	2/3/2010	11/23/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	2/3/2010	11/23/2011
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/3/2010	12/13/2016
Active	EMC Property & Casualty Company	955217	Agent - Casualty	5/19/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	5/19/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	2/13/2015
Active	EMCASCO Insurance Company	842790	Agent - Property	2/13/2015
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	7/7/2011	1/16/2012
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	7/7/2011	1/16/2012
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	12/22/2009
Active	Employers Mutual Casualty Company	300202	Agent - Property	12/22/2009
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/19/2009
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/19/2009
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	7/7/2011	1/16/2012
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	7/7/2011	1/16/2012
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	4/14/2011	5/18/2016
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	4/14/2011	5/18/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Health	12/16/2011	10/4/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/16/2011	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	7/16/2010	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	7/16/2010	10/4/2012
Active	Guardian Life Insurance Company of America	301316	Agent - Health	9/17/2010
Active	Guardian Life Insurance Company of America	301316	Agent - Life	9/17/2010
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	12/22/2009	12/20/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	12/22/2009	12/20/2017
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	10/4/2022
Active	Hartford Fire Insurance Company	300628	Agent - Property	10/4/2022
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	10/1/2023
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	10/1/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/28/2021
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/28/2021
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/17/2018
Active	Humana Insurance Company	301104	Agent - Health	2/3/2010
Active	Humana Insurance Company	301104	Agent - Life	2/3/2010
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	5/28/2021
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	5/28/2021
Active	Humana Medical Plan, Inc.	801568	Agent - Health	5/28/2021
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/28/2021
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/3/2010	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/3/2010	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/25/2016	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/25/2016	8/9/2018
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/21/2013	10/29/2015
Inactive	LM Insurance Corporation	301061	Agent - Casualty	7/7/2011	1/16/2012
Inactive	LM Insurance Corporation	301061	Agent - Property	7/7/2011	1/16/2012
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	7/7/2011	1/16/2012
Inactive	Liberty Insurance Corporation	300444	Agent - Property	7/7/2011	1/16/2012
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	7/7/2011	1/16/2012
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	7/7/2011	1/16/2012
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/7/2011	1/16/2012
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	7/7/2011	1/16/2012
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	4/1/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	4/1/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	1/13/2011
Active	Motorists Mutual Insurance Company	300963	Agent - Property	1/13/2011
Active	NorthStone Insurance Company	818905	Agent - Casualty	3/12/2019
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/14/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/14/2021
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	3/12/2019
Inactive	Plaza Insurance Company	300748	Agent - Casualty	1/10/2011	2/15/2017
Active	Principal Life Insurance Company	300129	Agent - Health	6/5/2014
Active	Principal Life Insurance Company	300129	Agent - Life	6/5/2014
Active	Principal National Life Insurance Company	301926	Agent - Life	12/7/2012
Inactive	Protective Life Insurance Company	300638	Agent - Health	3/23/2012	11/23/2021
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/23/2012	11/23/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/24/2015	12/24/2018
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/7/2011	2/27/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/7/2011	2/27/2016
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	10/7/2011	9/29/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/7/2011	9/29/2012
Active	SummitPoint Insurance Company	819084	Agent - Casualty	3/12/2019
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	3/10/2020
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	3/10/2020
Inactive	Time Insurance Company	300683	Agent - Health	2/3/2014	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	2/3/2014	12/20/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/27/2010	2/26/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/27/2010	2/26/2014
Active	Union Insurance Company of Providence	842791	Agent - Casualty	2/13/2015
Active	Union Insurance Company of Providence	842791	Agent - Property	2/13/2015
Inactive	United Fire & Casualty Company	301374	Agent - Casualty	9/7/2018	9/7/2021
Inactive	United Fire & Casualty Company	301374	Agent - Property	9/7/2018	9/7/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/25/2010	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/25/2010	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/25/2010	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/25/2010	12/1/2016
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	7/7/2011	1/16/2012
Inactive	Wausau Business Insurance Company	301476	Agent - Property	7/7/2011	1/16/2012
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	7/7/2011	1/16/2012
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	7/7/2011	1/16/2012
Active	West Bend Insurance Company	672974	Agent - Casualty	3/11/2011
Active	West Bend Insurance Company	672974	Agent - Property	3/11/2011
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/14/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/14/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	1/4/2010
Active	Westfield Insurance Company	301950	Agent - Property	1/4/2010
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/14/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	12/2/2019
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	12/2/2019
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Life	12/2/2019
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health	12/2/2019
Active	Dental Choice Agency Inc.	398085	Agent - Health	6/27/2012
Active	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013
Inactive	Garrett-Stotz Co	400616	Agent - Casualty	10/3/2012	5/1/2020
Inactive	Garrett-Stotz Co	400616	Agent - Property	10/3/2012	5/1/2020
Inactive	Garrett-Stotz Co	400616	Agent - Life	1/25/2010	5/1/2020
Inactive	Garrett-Stotz Co	400616	Agent - Health	1/25/2010	5/1/2020