DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Jason T	DOIID	597773	NAIC NPN	8047483

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/3/2004	8/31/2006
Inactive	Non Resident	Agent	Casualty	11/3/2004	8/31/2006
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First National Insurance Company of America	301690	Agent - Casualty	12/14/2004	6/20/2006
Inactive	First National Insurance Company of America	301690	Agent - Property	12/14/2004	6/20/2006
Inactive	General Insurance Company of America	300261	Agent - Casualty	12/14/2004	6/20/2006
Inactive	General Insurance Company of America	300261	Agent - Property	12/14/2004	6/20/2006
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/14/2004	6/20/2006
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/14/2004	6/20/2006
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/14/2004	6/20/2006
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/14/2004	6/20/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Emerald City Insurance Agency, Inc.	536551	Agent - Property	1/4/2005	6/20/2006
Inactive	Emerald City Insurance Agency, Inc.	536551	Agent - Casualty	1/4/2005	6/20/2006