DEPARTMENT OF INSURANCE

Affiliations

Name	Jim, Kellie Anne	DOIID	753385	NAIC NPN	7462691

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	1/6/2017	11/30/2026
Active	Non Resident	Agent	Casualty	5/2/2011	11/30/2026
Active	Non Resident	Agent	Life	1/6/2017	11/30/2026
Active	Non Resident	Agent	Property	5/2/2011	11/30/2026
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	9/15/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	9/15/2016	3/31/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/23/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/23/2015	11/14/2021
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	6/9/2017
Active	Auto-Owners Insurance Company	301480	Agent - Property	6/9/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/30/2022	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/30/2022	12/20/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	10/7/2015
Active	Dairyland Insurance Company	301370	Agent - Property	10/7/2015
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	5/13/2011	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	5/13/2011	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	5/13/2011	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	5/13/2011	12/13/2018
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	12/15/2011	11/25/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	12/15/2011	11/25/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/15/2011	11/25/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/15/2011	11/25/2013
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/6/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/6/2021
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/10/2011
Active	Grange Indemnity Insurance Company	300793	Agent - Property	5/10/2011
Active	Grange Insurance Company	300234	Agent - Casualty	5/10/2011
Active	Grange Insurance Company	300234	Agent - Property	5/10/2011
Inactive	Grange Life Insurance Company	300128	Agent - Health	1/19/2018	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	1/19/2018	3/31/2021
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	5/10/2011
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	5/10/2011
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	7/6/2011	7/1/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	7/6/2011	7/1/2014
Active	Integon General Insurance Corporation	301186	Agent - Casualty	3/2/2024
Active	Integon General Insurance Corporation	301186	Agent - Property	3/2/2024
Active	National General Insurance Company	300152	Agent - Casualty	3/2/2024
Active	National General Insurance Company	300152	Agent - Property	3/2/2024
Active	Owners Insurance Company	300796	Agent - Casualty	6/9/2017
Active	Owners Insurance Company	300796	Agent - Property	6/9/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/20/2013	8/14/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/20/2013	8/14/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/20/2013	8/14/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/20/2013	8/14/2019
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/4/2011	7/1/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/4/2011	7/1/2014
Inactive	Titan Indemnity Company	300556	Agent - Casualty	12/21/2011	12/5/2012
Inactive	Titan Indemnity Company	300556	Agent - Property	12/21/2011	12/5/2012
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	10/11/2016	11/14/2021
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	10/11/2016	11/14/2021
Active	Trustgard Insurance Company	300104	Agent - Casualty	5/10/2011
Active	Trustgard Insurance Company	300104	Agent - Property	5/10/2011
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	3/3/2021	10/23/2024
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	3/3/2021	10/23/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	3/3/2021	10/23/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	3/3/2021	10/23/2024
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	12/21/2011	12/5/2012
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	12/21/2011	12/5/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Greater Cincinnati Ins Services LLC	753762	Agent - Property	5/5/2011
Active	Greater Cincinnati Ins Services LLC	753762	Agent - Casualty	5/5/2011
Active	Greater Cincinnati Ins Services LLC	753762	Agent - Life	1/26/2017
Active	Greater Cincinnati Ins Services LLC	753762	Agent - Health	1/26/2017
Denied	Medlink Inc	400721	Agent - Life
Denied	Medlink Inc	400721	Agent - Health