DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Simms, Kelsey Colleen	DOIID	1057252	NAIC NPN	18590571

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/13/2023		11/30/2025
Active	Non Resident	Agent	Property	10/13/2023		11/30/2025
Inactive	Non Resident	Independent Adjuster	Property & Casualty	9/22/2019	11/30/2023
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Old Republic Insurance Company	301225	Agent - Casualty	5/8/2024
Active	Old Republic Insurance Company	301225	Agent - Property	5/8/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Xercor Ins Services LLC	904699	Agent - Casualty	5/8/2024
Active	Xercor Ins Services LLC	904699	Agent - Property	5/8/2024