DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Seebold, Kelly	DOIID	911263	NAIC NPN	17896587

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	5/13/2016		11/30/2026
Active	Resident	Agent	Property	5/13/2016		11/30/2026
* 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	09/15/2024	11/30/2024	09/10/2024	09/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Erie Insurance Company	300230	Agent - Casualty	8/1/2024
Active	Erie Insurance Company	300230	Agent - Property	8/1/2024
Active	Erie Insurance Exchange	300789	Agent - Casualty	8/1/2024
Active	Erie Insurance Exchange	300789	Agent - Property	8/1/2024
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	6/6/2016	4/26/2024
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	6/6/2016	4/26/2024
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	6/6/2016	4/26/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aspen Ridge Insurance LLC	1004364	Agent - Property	8/1/2024
Active	Aspen Ridge Insurance LLC	1004364	Agent - Casualty	8/1/2024