DEPARTMENT OF INSURANCE

Affiliations

Name	Hickman, Kelly Anne	DOIID	895774	NAIC NPN	7993696

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	11/24/2020	2/28/2026
Active	Non Resident	Agent	Casualty	11/24/2020	2/28/2026
* 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
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2015	6/12/2018
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/7/2015	6/12/2018
Active	American Strategic Insurance Corp	883540	Agent - Casualty	5/3/2022
Active	American Strategic Insurance Corp	883540	Agent - Property	5/3/2022
Active	Branch Insurance Exchange	1143306	Agent - Casualty	3/30/2022
Active	Branch Insurance Exchange	1143306	Agent - Property	3/30/2022
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/3/2023
Active	Bristol West Insurance Company	301655	Agent - Property	3/3/2023
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/7/2015	6/12/2018
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	9/13/2021	8/1/2022
Inactive	Dairyland Insurance Company	301370	Agent - Property	9/13/2021	8/1/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/28/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/28/2023
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/5/2018	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/5/2018	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/5/2018	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/5/2018	8/29/2018
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/10/2024
Active	Grange Indemnity Insurance Company	300793	Agent - Property	9/10/2024
Active	Grange Insurance Company	300234	Agent - Casualty	9/10/2024
Active	Grange Insurance Company	300234	Agent - Property	9/10/2024
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	9/10/2024
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	9/10/2024
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Indiana Insurance Company	301909	Agent - Property	12/7/2015	6/12/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	8/2/2021	11/29/2021
Inactive	Liberty Insurance Corporation	300444	Agent - Property	8/2/2021	11/29/2021
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	1/14/2021	11/29/2021
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	1/14/2021	11/29/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/7/2015	6/12/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/7/2015	6/12/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/7/2015	6/12/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	12/7/2015	6/12/2018
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Peerless Insurance Company	301910	Agent - Property	12/7/2015	6/12/2018
Active	Trustgard Insurance Company	300104	Agent - Casualty	9/10/2024
Active	Trustgard Insurance Company	300104	Agent - Property	9/10/2024
Inactive	West American Insurance Company	301112	Agent - Casualty	12/7/2015	6/12/2018
Inactive	West American Insurance Company	301112	Agent - Property	12/7/2015	6/12/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Branch Financial Inc	1120010	Agent - Property	6/14/2022
Active	Branch Financial Inc	1120010	Agent - Casualty	6/14/2022
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Property	1/14/2021	11/22/2021
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Casualty	1/14/2021	11/22/2021
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	12/7/2015	8/29/2018
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	12/7/2015	8/29/2018
Denied	Usi Insurance Services LLC	669260	Agent - Property
Denied	Usi Insurance Services LLC	669260	Agent - Casualty