DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kjellberg, Thomas	DOIID	1164467	NAIC NPN	19090928

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/6/2021		7/31/2027
Active	Non Resident	Agent	Casualty	10/6/2021		7/31/2027
* 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	05/15/2025	07/31/2025	05/12/2025	05/12/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	1/6/2023	12/27/2024
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	1/6/2023	12/27/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Aon Risk Services Central, Inc	502106	Agent - Casualty
Denied	Aon Risk Services Central, Inc	502106	Agent - Property