DEPARTMENT OF INSURANCE

Affiliations

Name	Hibler, Kaysey Lynn	DOIID	975045	NAIC NPN	16986484

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	10/31/2017	7/31/2026
Active	Non Resident	Agent	Casualty	10/31/2017	7/31/2026
* 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	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Property Casualty Company	300621	Agent - Casualty	12/16/2018
Active	AIG Property Casualty Company	300621	Agent - Property	12/16/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	5/5/2021	6/10/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Property	5/5/2021	6/10/2022
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/5/2019
Active	Bristol West Insurance Company	301655	Agent - Property	12/5/2019
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	12/12/2019	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	12/12/2019	10/3/2024
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	4/21/2023
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	4/21/2023
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/21/2023
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/21/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/5/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/5/2019
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	4/8/2022	2/3/2023
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	4/8/2022	2/3/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	12/11/2019
Active	Progressive Casualty Insurance Company	300696	Agent - Property	12/11/2019
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	6/7/2018
Active	SAFECO Insurance Company of America	300159	Agent - Property	6/7/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/7/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/7/2018
Active	United Financial Casualty Company	301886	Agent - Casualty	12/11/2019
Active	United Financial Casualty Company	301886	Agent - Property	12/11/2019
Active	Westfield Insurance Company	301950	Agent - Casualty	1/12/2026
Active	Westfield Insurance Company	301950	Agent - Property	1/12/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Goosehead Insurance Agency, Llc	971836	Agent - Property	12/11/2017
Active	Goosehead Insurance Agency, Llc	971836	Agent - Casualty	12/11/2017
Active	Texas Wasatch Insurance Services LP	990805	Agent - Property	2/27/2020
Active	Texas Wasatch Insurance Services LP	990805	Agent - Casualty	2/27/2020