DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelley, Tricia A	DOIID	604188	NAIC NPN	8406924

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	3/17/2005	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	3/2/2005	3/17/2005
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		2/28/2026
* 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
Staff Adjuster	12/15/2025	02/28/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	State Farm Mutual Automobile Insurance Company	301732	Adjuster - Independent	7/18/2007	7/1/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Staff Adjuster - Property & Casualty	7/1/2010	3/21/2016

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown-Rotkiske, Keisha Andrea	640923	Apprentice Adjuster - Not Applicable	9/26/2006	10/31/2006
Inactive	Monsour, Beth Ann	640940	Apprentice Adjuster - Not Applicable	9/26/2006	10/24/2006

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ryan, Bridget Ann	592643	Apprentice Adjuster - Not Applicable	3/2/2005	3/17/2005