DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keip, Timothy J	DOIID	829955	NAIC NPN	8313379

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/19/2013		4/30/2026
Active	Non Resident	Agent	Casualty	12/19/2013		4/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/24/2025		4/30/2026
* 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	02/15/2026	04/30/2026
Surplus Lines Broker	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Safety National Casualty Corporation	300390	Agent - Casualty	11/8/2024
Active	Safety National Casualty Corporation	300390	Agent - Property	11/8/2024
Active	Zurich American Insurance Company	301121	Agent - Casualty	2/8/2019
Active	Zurich American Insurance Company	301121	Agent - Property	2/8/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Property	2/15/2019	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Casualty	2/15/2019	1/7/2020
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Property	1/30/2020
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Casualty	1/30/2020
Active	Willis Towers Watson Midwest, Inc	534348	Surplus Lines Broker - Not Applicable	5/22/2025