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.

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 Mutual Insurance Company	300965	Agent - Casualty	5/3/2018	1/19/2024
Inactive	Central Mutual 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