DEPARTMENT OF INSURANCE

Affiliations

Name	Ray, Kelly	DOIID	857877	NAIC NPN	8802489

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/23/2014	8/31/2025
Active	Non Resident	Agent	Health	10/23/2014	8/31/2025
Active	Non Resident	Agent	Casualty	10/23/2014	8/31/2025
Active	Non Resident	Agent	Property	10/23/2014	8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	12/1/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	12/1/2016	3/31/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	7/19/2023
Active	American Economy Insurance Company	300315	Agent - Property	7/19/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/18/2025
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/18/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/26/2018	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/26/2018	12/16/2024
Active	Banner Life Insurance Company	301696	Agent - Life	7/7/2020
Active	Bristol West Insurance Company	301655	Agent - Casualty	11/24/2015
Active	Bristol West Insurance Company	301655	Agent - Property	11/24/2015
Active	Dairyland Insurance Company	301370	Agent - Casualty	2/25/2016
Active	Dairyland Insurance Company	301370	Agent - Property	2/25/2016
Active	Erie Family Life Insurance Company	301400	Agent - Life	5/7/2015
Active	Erie Insurance Company	300230	Agent - Casualty	5/7/2015
Active	Erie Insurance Company	300230	Agent - Property	5/7/2015
Active	Erie Insurance Exchange	300789	Agent - Casualty	5/7/2015
Active	Erie Insurance Exchange	300789	Agent - Property	5/7/2015
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/30/2015
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/30/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/24/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/24/2015
Active	Golden Rule Insurance Company	301943	Agent - Health	3/16/2018
Active	Golden Rule Insurance Company	301943	Agent - Life	3/16/2018
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	4/9/2015
Active	Grange Indemnity Insurance Company	300793	Agent - Property	4/9/2015
Active	Grange Insurance Company	300234	Agent - Casualty	4/9/2015
Active	Grange Insurance Company	300234	Agent - Property	4/9/2015
Inactive	Grange Life Insurance Company	300128	Agent - Health	11/12/2015	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	11/12/2015	12/28/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	4/9/2015
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	4/9/2015
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/16/2023
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	8/16/2023
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/7/2025
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/7/2025
Active	Trustgard Insurance Company	300104	Agent - Casualty	4/9/2015
Active	Trustgard Insurance Company	300104	Agent - Property	4/9/2015
Inactive	Utica Mutual Insurance Company	301933	Agent - Casualty	6/6/2016	11/28/2023
Inactive	Utica Mutual Insurance Company	301933	Agent - Property	6/6/2016	11/28/2023
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	10/19/2015	9/14/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	10/19/2015	9/14/2017
Active	West Bend Insurance Company	672974	Agent - Casualty	9/22/2017
Active	West Bend Insurance Company	672974	Agent - Property	9/22/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/26/2018	2/11/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/26/2018	2/11/2025
Active	Mitchell Ins Agcy Inc	852048	Agent - Property	5/8/2015
Active	Mitchell Ins Agcy Inc	852048	Agent - Health	11/12/2015
Active	Mitchell Ins Agcy Inc	852048	Agent - Life	5/8/2015
Active	Mitchell Ins Agcy Inc	852048	Agent - Casualty	5/8/2015