DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025
Surplus Lines Broker	10/15/2025	12/31/2025

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