DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Theis, Kimberly Mae	DOIID	771052	NAIC NPN	16493352

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	2/1/2012		8/31/2025
Active	Resident	Agent	Property	2/1/2012		8/31/2025
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	2/3/2012
Active	ACE American Insurance Company	300625	Agent - Property	2/3/2012
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	9/1/2017	7/2/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	9/1/2017	7/2/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/22/2016	4/6/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/22/2016	4/6/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	12/27/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	12/27/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/1/2017	7/2/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/1/2017	7/2/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/1/2017	7/2/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/1/2017	7/2/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/4/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/4/2023
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	2/3/2012
Active	Indemnity Insurance Company of North America	301760	Agent - Property	2/3/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Troutman & Asso Inc	400114	Agent - Casualty	2/3/2012
Active	Troutman & Asso Inc	400114	Agent - Property	2/3/2012