DEPARTMENT OF INSURANCE

Affiliations

Name	Keystone Program Group Llc	DOIID	805208	NAIC NPN	16901975

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	3/7/2013	3/31/2027
Active	Non Resident	Agent	Casualty	3/7/2013	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/27/2013	3/31/2027
* 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	Allied Insurance Company of America	793586	Agent - Casualty	2/2/2022
Active	Allied Insurance Company of America	793586	Agent - Property	2/2/2022
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	7/13/2017	8/17/2021
Inactive	AmTrust Insurance Company	300179	Agent - Property	7/13/2017	8/17/2021
Inactive	American Economy Insurance Company	300315	Agent - Casualty	7/12/2016	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	7/12/2016	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	7/18/2016	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	7/18/2016	3/29/2024
Inactive	American States Insurance Company	301230	Agent - Casualty	7/12/2016	3/29/2024
Inactive	American States Insurance Company	301230	Agent - Property	7/12/2016	3/29/2024
Inactive	Berkley Casualty Company	300731	Agent - Casualty	10/16/2019	7/23/2024
Active	Carolina Casualty Insurance Company	300271	Agent - Casualty	10/16/2019
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	6/10/2013	12/3/2014
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	6/10/2013	12/3/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/18/2016	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/18/2016	10/13/2022
Inactive	Farmington Casualty Company	301137	Agent - Casualty	6/10/2013	12/3/2014
Inactive	Farmington Casualty Company	301137	Agent - Property	6/10/2013	12/3/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/12/2016	10/13/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	7/12/2016	10/13/2022
Inactive	General Insurance Company of America	300261	Agent - Casualty	7/12/2016	3/29/2024
Inactive	General Insurance Company of America	300261	Agent - Property	7/12/2016	3/29/2024
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	5/8/2013	10/13/2021
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	5/8/2013	10/13/2021
Inactive	Great American Assurance Company	300327	Agent - Casualty	5/8/2013	3/26/2021
Inactive	Great American Assurance Company	300327	Agent - Property	5/8/2013	3/26/2021
Inactive	Great American Insurance Company	301586	Agent - Casualty	5/8/2013	3/26/2021
Inactive	Great American Insurance Company	301586	Agent - Property	5/8/2013	3/26/2021
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	5/8/2013	3/26/2021
Inactive	Great American Insurance Company of New York	301897	Agent - Property	5/8/2013	3/26/2021
Inactive	Great American Security Insurance Company	301228	Agent - Casualty	5/8/2013	3/26/2021
Inactive	Great American Security Insurance Company	301228	Agent - Property	5/8/2013	3/26/2021
Active	Great American Spirit Insurance Company	300233	Agent - Casualty	5/8/2013
Active	Great American Spirit Insurance Company	300233	Agent - Property	5/8/2013
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/18/2016	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	7/18/2016	2/3/2023
Inactive	Key Risk Insurance Company	630687	Agent - Casualty	10/16/2019	7/23/2024
Active	Meridian Security Insurance Company	300423	Agent - Casualty	5/23/2017
Active	Meridian Security Insurance Company	300423	Agent - Property	5/23/2017
Inactive	Midwest Employers Casualty Company	300124	Agent - Casualty	10/16/2019	7/23/2024
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	7/13/2017	8/17/2021
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	7/13/2017	8/17/2021
Active	Nationwide Assurance Company	300166	Agent - Casualty	1/12/2020
Active	Nationwide General Insurance Company	300603	Agent - Casualty	8/15/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	8/15/2019
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	8/15/2019
Active	Nationwide Insurance Company of America	300333	Agent - Property	8/15/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	4/11/2013
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	4/11/2013
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	1/12/2020
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	1/12/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/18/2016	5/9/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/18/2016	5/9/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/18/2016	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	7/18/2016	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	7/18/2016	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	7/18/2016	3/29/2024
Inactive	Park National Insurance Company	692514	Agent - Casualty	7/13/2017	8/17/2021
Inactive	Park National Insurance Company	692514	Agent - Property	7/13/2017	8/17/2021
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	7/18/2016	9/26/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	7/18/2016	9/26/2024
Inactive	Peerless Insurance Company	301910	Agent - Casualty	7/18/2016	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	7/18/2016	5/8/2025
Inactive	Protective Insurance Company	301117	Agent - Casualty	12/5/2016	9/29/2017
Inactive	Protective Insurance Company	301117	Agent - Property	12/5/2016	9/29/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/12/2016	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/12/2016	3/29/2024
Inactive	Security National Insurance Company	301151	Agent - Casualty	7/13/2017	8/17/2021
Inactive	Security National Insurance Company	301151	Agent - Property	7/13/2017	8/17/2021
Inactive	Sequoia Insurance Company	628046	Agent - Casualty	5/5/2020	8/17/2021
Inactive	Sequoia Insurance Company	628046	Agent - Property	5/5/2020	8/17/2021
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/10/2013	12/3/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/10/2013	12/3/2014
Inactive	StarNet Insurance Company	502746	Agent - Casualty	10/16/2019	7/23/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	5/30/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Property	5/30/2024
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	5/23/2017
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	5/23/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	5/23/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	5/23/2017
Inactive	Technology Insurance Company	613278	Agent - Casualty	7/13/2017	8/17/2021
Inactive	Technology Insurance Company	613278	Agent - Property	7/13/2017	8/17/2021
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/10/2013	12/3/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/10/2013	12/3/2014
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	6/10/2013	12/3/2014
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	6/10/2013	12/3/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	6/10/2013	12/3/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	6/10/2013	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/10/2013	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	6/10/2013	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/10/2013	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/10/2013	12/3/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	6/10/2013	12/3/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	6/10/2013	12/3/2014
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	6/10/2013	12/3/2014
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	6/10/2013	12/3/2014
Inactive	Wesco Insurance Company	300534	Agent - Casualty	7/13/2017	8/17/2021
Inactive	Wesco Insurance Company	300534	Agent - Property	7/13/2017	8/17/2021
Inactive	West American Insurance Company	301112	Agent - Casualty	7/18/2016	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	7/18/2016	3/29/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hilbert, Amber-Lee	824678	Surplus Lines Broker - Not Applicable	10/19/2021	3/17/2025
Active	Irwin, David James	752148	Agent - Casualty	10/19/2021
Active	Irwin, David James	752148	Agent - Property	10/19/2021
Active	Irwin, David James	752148	Surplus Lines Broker - Not Applicable	3/17/2025
Inactive	Joyce, Joseph P	695192	Agent - Casualty	3/7/2013	3/17/2025
Inactive	Joyce, Joseph P	695192	Agent - Property	3/7/2013	3/17/2025
Inactive	Moran, Jeffrey Eugene	804965	Agent - Casualty	7/30/2013	6/30/2022
Inactive	Moran, Jeffrey Eugene	804965	Agent - Property	7/30/2013	6/30/2022
Inactive	Moran, Jeffrey Eugene	804965	Surplus Lines Broker - Not Applicable	3/27/2013	5/25/2022