DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keip, Timothy J	DOIID	829955	NAIC NPN	8313379

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/19/2013		4/30/2026
Active	Non Resident	Agent	Casualty	12/19/2013		4/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/24/2025		4/30/2026
* 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	Safety National Casualty Corporation	300390	Agent - Casualty	11/8/2024
Active	Safety National Casualty Corporation	300390	Agent - Property	11/8/2024
Active	Zurich American Insurance Company	301121	Agent - Casualty	2/8/2019
Active	Zurich American Insurance Company	301121	Agent - Property	2/8/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Property	2/15/2019	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Casualty	2/15/2019	1/7/2020
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Property	1/30/2020
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Casualty	1/30/2020
Active	Willis Towers Watson Midwest, Inc	534348	Surplus Lines Broker - Not Applicable	5/22/2025