DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Klewsaat, Theresa Ann	DOIID	1172584	NAIC NPN	19321709

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/15/2021		3/31/2026
Active	Non Resident	Agent	Life	11/15/2021		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Health	5/23/2023	10/25/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	5/23/2023	10/25/2024
Active	Pacific Life Insurance Company	301848	Agent - Health	9/24/2024
Active	Pacific Life Insurance Company	301848	Agent - Life	9/24/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Affinity Insurance Services, Inc.	397758	Agent - Life	11/6/2023
Active	Gallagher Affinity Insurance Services, Inc.	397758	Agent - Health	11/6/2023