DEPARTMENT OF INSURANCE

Affiliations

Name	Modlin, Kelly Shyanne	DOIID	638873	NAIC NPN	8895817

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	11/28/2006	7/31/2016
Inactive	Non Resident	Agent	Property	8/14/2007	7/31/2016
* 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	AIG Assurance Company	300897	Agent - Casualty	4/28/2009	9/29/2010
Inactive	AIG Assurance Company	300897	Agent - Property	4/28/2009	9/29/2010
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	9/20/2011	7/31/2014
Inactive	Allstate Indemnity Company	300778	Agent - Property	9/20/2011	7/31/2014
Inactive	Allstate Insurance Company	300773	Agent - Casualty	9/20/2011	7/31/2014
Inactive	Allstate Insurance Company	300773	Agent - Property	9/20/2011	7/31/2014
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	9/20/2011	7/31/2014
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	9/20/2011	7/31/2014
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/19/2014	7/31/2014
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/19/2014	7/31/2014
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	10/5/2009	12/29/2010
Inactive	Bedivere Insurance Company	300710	Agent - Property	10/5/2009	12/29/2010
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/17/2009	1/4/2012
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/17/2009	1/4/2012
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	5/18/2009	12/17/2010
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	5/18/2009	12/17/2010
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/2/2010	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/2/2010	10/20/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/12/2009	4/27/2011
Inactive	Dairyland Insurance Company	301370	Agent - Property	11/12/2009	4/27/2011
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	10/5/2009	12/29/2010
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	10/5/2009	12/29/2010
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	11/18/2009	1/4/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	11/18/2009	1/4/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/2/2010	10/20/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	7/2/2010	10/20/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/26/2009	1/4/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/26/2009	1/4/2012
Inactive	General Insurance Company of America	300261	Agent - Casualty	7/2/2010	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - Property	7/2/2010	10/20/2011
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	2/5/2008	2/14/2008
Inactive	Illinois National Insurance Company	301367	Agent - Property	2/5/2008	2/14/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/2/2010	4/17/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	7/2/2010	4/17/2012
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	10/5/2009	12/29/2010
Inactive	Lamorak Insurance Company	301231	Agent - Property	10/5/2009	12/29/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/2/2010	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/2/2010	10/20/2011
Inactive	Omni Indemnity Company	301456	Agent - Casualty	2/3/2010	9/27/2012
Inactive	Omni Indemnity Company	301456	Agent - Property	2/3/2010	9/27/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	7/2/2010	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	7/2/2010	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	7/2/2010	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	7/2/2010	10/20/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	4/28/2009	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	4/28/2009	1/25/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/1/2009	5/5/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/1/2009	5/5/2011
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/1/2009	5/5/2011
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/1/2009	5/5/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/2/2010	4/17/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/2/2010	4/17/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/2/2010	4/17/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/2/2010	4/17/2012
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	11/18/2009	1/4/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	11/18/2009	1/4/2012
Inactive	United Financial Casualty Company	301886	Agent - Casualty	5/1/2009	5/5/2011
Inactive	United Financial Casualty Company	301886	Agent - Property	5/1/2009	5/5/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jade Financial Services LLC	724808	Agent - Casualty	1/24/2012	7/27/2014
Inactive	Jade Financial Services LLC	724808	Agent - Property	1/24/2012	7/31/2014
Inactive	Morgan Insurance Services	616623	Agent - Casualty	4/30/2009	9/25/2011
Inactive	Morgan Insurance Services	616623	Agent - Property	4/30/2009	9/25/2011