DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Kellie Elizabeth	DOIID	905728	NAIC NPN	17207503

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/24/2019		8/31/2026
Active	Non Resident	Agent	Health	9/24/2019		8/31/2026
Active	Non Resident	Agent	Casualty	2/3/2016		8/31/2026
Active	Non Resident	Agent	Property	2/3/2016		8/31/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/24/2019	5/25/2022
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	8/24/2017	7/22/2020
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/24/2017	7/22/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/17/2019	12/6/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/17/2019	12/6/2021
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	9/23/2020	3/7/2022
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	9/23/2020	3/7/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/17/2019	12/6/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/17/2019	12/6/2021
Inactive	LM General Insurance Company	300133	Agent - Casualty	9/23/2020	3/7/2022
Inactive	LM General Insurance Company	300133	Agent - Property	9/23/2020	3/7/2022
Inactive	LM Insurance Corporation	301061	Agent - Casualty	9/23/2020	3/7/2022
Inactive	LM Insurance Corporation	301061	Agent - Property	9/23/2020	3/7/2022
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	9/23/2020	3/7/2022
Inactive	Liberty Insurance Corporation	300444	Agent - Property	9/23/2020	3/7/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	9/23/2020	3/7/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	9/23/2020	3/7/2022
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	9/23/2020	3/7/2022
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	9/23/2020	3/7/2022
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	9/23/2020	3/7/2022
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	9/23/2020	3/7/2022
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	1/25/2017	8/27/2019
Inactive	QBE Insurance Corporation	300515	Agent - Property	1/25/2017	8/27/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CHCP Holdings, Inc.	784925	Agent - Casualty	10/24/2017	4/8/2020
Inactive	CHCP Holdings, Inc.	784925	Agent - Property	10/24/2017	4/8/2020
Inactive	Cyberpolicy, Inc.	929998	Agent - Casualty	12/30/2019	6/8/2020
Inactive	Cyberpolicy, Inc.	929998	Agent - Property	12/30/2019	6/8/2020
Denied	Cyberpolicy, Inc.	929998	Agent - Life
Denied	Cyberpolicy, Inc.	929998	Agent - Health
Inactive	Cyberpolicy, Inc.	929998	Surplus Lines Broker - Not Applicable	12/30/2019	6/8/2020