DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Donnelly, Susan P	DOIID	692115	NAIC NPN	2160051

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/30/2008		4/30/2027
Active	Non Resident	Agent	Health	10/30/2008		4/30/2027
Active	Non Resident	Agent	Property	10/30/2008		4/30/2027
Active	Non Resident	Agent	Casualty	10/30/2008		4/30/2027
* 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	02/15/2025	04/30/2025	02/13/2025	02/13/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	3/22/2019
Active	ACE American Insurance Company	300625	Agent - Property	3/22/2019
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/11/2019
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/11/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Insurance Services, Inc.	396178	Agent - Casualty	3/26/2019
Active	Affinity Insurance Services, Inc.	396178	Agent - Health	3/26/2019
Active	Affinity Insurance Services, Inc.	396178	Agent - Life	3/26/2019
Active	Affinity Insurance Services, Inc.	396178	Agent - Property	3/26/2019