DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keltner, Jamie Lyn	DOIID	667761	NAIC NPN	9398454

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/9/2010	3/31/2017
Inactive	Non Resident	Agent	Casualty	3/9/2010	3/31/2017
Inactive	Non Resident	Agent	Health	3/9/2010	3/31/2017
Inactive	Non Resident	Agent	Property	3/9/2010	3/31/2017
* 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	American Modern Select Insurance Company	581481	Agent - Casualty	9/25/2015	6/15/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/25/2015	6/15/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/25/2015	6/15/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/25/2015	6/15/2016
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	2/18/2008	3/31/2009
Inactive	Ansur America Insurance Company	520667	Agent - Property	2/18/2008	3/31/2009
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/10/2010	11/30/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/10/2010	11/30/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/8/2013	3/31/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/8/2013	3/31/2017
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	12/4/2007	3/31/2009
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	12/4/2007	3/31/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/13/2014	7/8/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/13/2014	7/8/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/13/2014	7/8/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/13/2014	7/8/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sibcy Cline Ins Services Inc	518936	Agent - Property	7/19/2012	3/31/2017
Inactive	Sibcy Cline Ins Services Inc	518936	Agent - Casualty	7/19/2012	3/31/2017
Inactive	Sibcy Cline Ins Services Inc	518936	Agent - Life	10/16/2012	3/31/2017
Inactive	Sibcy Cline Ins Services Inc	518936	Agent - Health	10/16/2012	3/31/2017