DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Laurie Jean	DOIID	943482	NAIC NPN	18299175

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	3/16/2017		10/31/2024
Active	Resident	Agent	Casualty	3/16/2017		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	9/21/2018	3/4/2021
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	9/21/2018	3/4/2021
Inactive	Owners Insurance Company	300796	Agent - Casualty	9/21/2018	3/4/2021
Inactive	Owners Insurance Company	300796	Agent - Property	9/21/2018	3/4/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fusting & Dugan Insurance LLC	620778	Agent - Casualty	9/21/2018	3/4/2021
Inactive	Fusting & Dugan Insurance LLC	620778	Agent - Property	9/21/2018	3/4/2021
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	2/22/2019	3/4/2021
Inactive	Usi Insurance Services LLC	669260	Agent - Property	2/22/2019	3/4/2021