DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Seibt, Zackery Ian	DOIID	1120592	NAIC NPN	17953475

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/12/2021		11/30/2025
Active	Non Resident	Agent	Health	2/12/2021		11/30/2025
Active	Non Resident	Agent	Life	2/12/2021		11/30/2025
Active	Non Resident	Agent	Property	2/12/2021		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	8/12/2021
Active	ACE American Insurance Company	300625	Agent - Property	8/12/2021
Active	Metropolitan General Insurance Company	300709	Agent - Casualty	8/8/2023
Active	Metropolitan General Insurance Company	300709	Agent - Property	8/8/2023
Active	Metropolitan Life Insurance Company	301948	Agent - Health	8/8/2023
Active	Metropolitan Life Insurance Company	301948	Agent - Life	8/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Insurance Services, Inc.	396178	Agent - Casualty	8/16/2021
Active	Affinity Insurance Services, Inc.	396178	Agent - Life	8/8/2023
Active	Affinity Insurance Services, Inc.	396178	Agent - Health	8/8/2023
Active	Affinity Insurance Services, Inc.	396178	Agent - Property	8/16/2021