DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ray, Kelly Lynn	DOIID	950103	NAIC NPN	18234960

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/5/2017	1/31/2022
Inactive	Non Resident	Agent	Property	4/5/2017	1/31/2022
* 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	Hartford Fire Insurance Company	300628	Agent - Casualty	1/23/2019	2/5/2020
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	1/23/2019	2/5/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Treloar & Heisel, Inc.	516754	Agent - Property
Denied	Treloar & Heisel, Inc.	516754	Agent - Casualty