DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dokken, Kimberly	DOIID	839765	NAIC NPN	8902800

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/5/2024		12/31/2025
Active	Non Resident	Agent	Property	3/5/2024		12/31/2025
Inactive	Non Resident	Agent	Personal Lines	5/1/2014	3/29/2017
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/28/2024		12/31/2025
* 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	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/28/2024
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	5/27/2014	4/24/2017
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	3/28/2024
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	7/7/2014	9/28/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	NBS Insurance Agency Inc	515576	Agent - Casualty	4/4/2024
Active	NBS Insurance Agency Inc	515576	Agent - Property	4/4/2024
Active	NBS Insurance Agency Inc	515576	Surplus Lines Broker - Not Applicable	4/4/2024
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	5/27/2014	4/24/2017