DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Page, Kelly M	DOIID	670072	NAIC NPN	9756954

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/16/2011	6/30/2014
Inactive	Non Resident	Agent	Property	6/16/2011	6/30/2014
Inactive	Non Resident	Agent	Life	12/10/2007	6/30/2010
* 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	Independent Order of Foresters	300743	Agent - Life	1/21/2008	5/19/2010
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	6/30/2011	5/28/2013
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	6/30/2011	5/28/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	7/5/2011	5/28/2013
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	7/5/2011	5/28/2013