DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Weis, Kelly J	DOIID	786138	NAIC NPN	16500039

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/8/2015	11/23/2016
Inactive	Non Resident	Agent	Casualty	8/8/2015	11/23/2016
Active	Non Resident	Staff Adjuster	Property & Casualty	8/9/2024		12/31/2026
* 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
Staff Adjuster	10/15/2026	12/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/6/2012	1/6/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/6/2012	1/6/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/10/2015	1/2/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	11/10/2015	1/2/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	11/10/2015	11/23/2016
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	11/10/2015	11/23/2016