DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Geisen, Analicia	DOIID	769347	NAIC NPN	6742164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/21/2011		7/31/2027
Active	Non Resident	Agent	Casualty	11/21/2011		7/31/2027
Active	Non Resident	Agent	Health	4/1/2022		7/31/2027
Active	Non Resident	Agent	Life	4/1/2022		7/31/2027
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/13/2022	10/14/2024
* 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	05/15/2025	07/31/2025	05/15/2025	05/15/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/9/2014	10/23/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/9/2014	10/23/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	2/19/2014	7/3/2014
Inactive	QBE Insurance Corporation	300515	Agent - Property	2/19/2014	7/3/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PNC Insurance Agency, Inc.	595561	Agent - Casualty	7/29/2014	10/26/2021
Inactive	PNC Insurance Agency, Inc.	595561	Agent - Property	7/29/2014	10/26/2021
Denied	PNC Insurance Services LLC	400874	Agent - Casualty
Denied	PNC Insurance Services LLC	400874	Agent - Property