DEPARTMENT OF INSURANCE

Affiliations

Name	Gibbons, Kelley V	DOIID	980049	NAIC NPN	18653512

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	12/22/2017	9/30/2025
Active	Non Resident	Agent	Casualty	12/22/2017	9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AmGUARD Insurance Company	500010	Agent - Casualty	10/10/2019
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	12/28/2017
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	12/28/2017
Active	American Zurich Insurance Company	300592	Agent - Casualty	12/28/2017
Active	American Zurich Insurance Company	300592	Agent - Property	12/28/2017
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	1/3/2018
Active	Employers Insurance Company of Wausau	301813	Agent - Property	1/3/2018
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/3/2018
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/3/2018
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	5/27/2021	7/25/2023
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	5/27/2021	7/25/2023
Active	Hartford Insurance Company of Illinois	1014405	Agent - Casualty	11/9/2022
Active	Hartford Insurance Company of Illinois	1014405	Agent - Property	11/9/2022
Active	LM Insurance Corporation	301061	Agent - Casualty	1/3/2018
Active	LM Insurance Corporation	301061	Agent - Property	1/3/2018
Active	Liberty Insurance Corporation	300444	Agent - Casualty	1/3/2018
Active	Liberty Insurance Corporation	300444	Agent - Property	1/3/2018
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/3/2018
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/3/2018
Inactive	Nutmeg Insurance Company	751698	Agent - Casualty	11/22/2021	7/25/2023
Inactive	Nutmeg Insurance Company	751698	Agent - Property	11/22/2021	7/25/2023
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/14/2019	7/25/2023
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/14/2019	7/25/2023
Active	Zurich American Insurance Company	301121	Agent - Casualty	12/28/2017
Active	Zurich American Insurance Company	301121	Agent - Property	12/28/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	12/28/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	12/28/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Paychex Insurance Agency Inc	509469	Agent - Property	1/8/2018
Active	Paychex Insurance Agency Inc	509469	Agent - Casualty	1/8/2018