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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024	07/15/2024	07/15/2024	Yes

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