DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blough, Kellie Lee	DOIID	1118142	NAIC NPN	19762130

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/6/2022		5/31/2026
Active	Non Resident	Agent	Casualty	12/6/2022		5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Independence American Insurance Company	524747	Agent - Casualty	9/10/2023
Active	Independence American Insurance Company	524747	Agent - Property	9/10/2023
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	5/20/2021	8/24/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	5/20/2021	8/24/2022
Active	United States Fire Insurance Company	582240	Agent - Casualty	12/14/2022
Active	United States Fire Insurance Company	582240	Agent - Property	12/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	PTZ Insurance Agency LTD	695420	Agent - Casualty	8/14/2024
Active	PTZ Insurance Agency LTD	695420	Agent - Property	8/14/2024