DEPARTMENT OF INSURANCE

Affiliations

Name	Kelsey, Kevin Nicholas	DOIID	651865	NAIC NPN	7564999

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/24/2015		11/30/2025
Active	Non Resident	Agent	Life	7/24/2015		11/30/2025
Active	Non Resident	Agent	Casualty	7/24/2015		11/30/2025
Active	Non Resident	Agent	Property	7/24/2015		11/30/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	11/2/2017	9/16/2020
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	All America Insurance Company	300078	Agent - Casualty	5/3/2018	1/19/2024
Inactive	All America Insurance Company	300078	Agent - Property	5/3/2018	1/19/2024
Active	Allied Eastern Indemnity Company	683842	Agent - Casualty	1/22/2016
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	5/12/2014	7/9/2014
Inactive	American Zurich Insurance Company	300592	Agent - Property	5/12/2014	7/9/2014
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	1/18/2016	2/23/2024
Inactive	Ansur America Insurance Company	520667	Agent - Property	1/18/2016	2/23/2024
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Central Insurance Company	300965	Agent - Casualty	5/3/2018	1/19/2024
Inactive	Central Insurance Company	300965	Agent - Property	5/3/2018	1/19/2024
Active	Eastern Advantage Assurance Company	692390	Agent - Casualty	1/22/2016
Active	Eastern Alliance Insurance Company	683841	Agent - Casualty	1/22/2016
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	1/18/2016	2/23/2024
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	1/18/2016	2/23/2024
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	7/1/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	7/1/2019
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	6/21/2018
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	6/21/2018
Inactive	Protective Insurance Company	301117	Agent - Casualty	9/26/2018	3/4/2021
Inactive	Protective Insurance Company	301117	Agent - Property	9/26/2018	3/4/2021
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	9/26/2018	3/4/2021
Inactive	Sagamore Insurance Company	300942	Agent - Property	9/26/2018	3/4/2021
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	11/10/2016
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	11/10/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown of Louisiana, LLC	800655	Agent - Property	1/7/2013	4/1/2013
Inactive	Brown & Brown of Louisiana, LLC	800655	Agent - Casualty	1/7/2013	4/1/2013