DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Kelly J	DOIID	878057	NAIC NPN	395476

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/14/2015		10/31/2025
Active	Non Resident	Agent	Casualty	5/14/2015		10/31/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	11/2/2015	12/17/2021
* 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	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	5/27/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	5/27/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Private Client Select Insurance Services LLC	1242047	Agent - Property	2/21/2024
Active	Private Client Select Insurance Services LLC	1242047	Agent - Casualty	2/21/2024
Inactive	Risk Specialists Companies Ins Agency Inc	669694	Agent - Property	5/27/2015	2/8/2024
Inactive	Risk Specialists Companies Ins Agency Inc	669694	Agent - Casualty	5/27/2015	2/8/2024
Inactive	Risk Specialists Companies Ins Agency Inc	669694	Surplus Lines Broker - Not Applicable	12/3/2015	12/17/2021