DEPARTMENT OF INSURANCE

Affiliations

Name	Hickman, Kelly Anne	DOIID	895774	NAIC NPN	7993696

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	11/24/2020	2/28/2026
Active	Non Resident	Agent	Casualty	11/24/2020	2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2015	6/12/2018
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/7/2015	6/12/2018
Active	American Strategic Insurance Corp	883540	Agent - Casualty	5/3/2022
Active	American Strategic Insurance Corp	883540	Agent - Property	5/3/2022
Active	Branch Insurance Exchange	1143306	Agent - Casualty	3/30/2022
Active	Branch Insurance Exchange	1143306	Agent - Property	3/30/2022
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/3/2023
Active	Bristol West Insurance Company	301655	Agent - Property	3/3/2023
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/7/2015	6/12/2018
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	9/13/2021	8/1/2022
Inactive	Dairyland Insurance Company	301370	Agent - Property	9/13/2021	8/1/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/28/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/28/2023
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/5/2018	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/5/2018	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/5/2018	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/5/2018	8/29/2018
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/10/2024
Active	Grange Indemnity Insurance Company	300793	Agent - Property	9/10/2024
Active	Grange Insurance Company	300234	Agent - Casualty	9/10/2024
Active	Grange Insurance Company	300234	Agent - Property	9/10/2024
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	9/10/2024
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	9/10/2024
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Indiana Insurance Company	301909	Agent - Property	12/7/2015	6/12/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	8/2/2021	11/29/2021
Inactive	Liberty Insurance Corporation	300444	Agent - Property	8/2/2021	11/29/2021
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	1/14/2021	11/29/2021
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	1/14/2021	11/29/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/7/2015	6/12/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/7/2015	6/12/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/7/2015	6/12/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	12/7/2015	6/12/2018
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/7/2015	6/12/2018
Inactive	Peerless Insurance Company	301910	Agent - Property	12/7/2015	6/12/2018
Active	Trustgard Insurance Company	300104	Agent - Casualty	9/10/2024
Active	Trustgard Insurance Company	300104	Agent - Property	9/10/2024
Inactive	West American Insurance Company	301112	Agent - Casualty	12/7/2015	6/12/2018
Inactive	West American Insurance Company	301112	Agent - Property	12/7/2015	6/12/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Branch Financial Inc	1120010	Agent - Property	6/14/2022
Active	Branch Financial Inc	1120010	Agent - Casualty	6/14/2022
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Property	1/14/2021	11/22/2021
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Casualty	1/14/2021	11/22/2021
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	12/7/2015	8/29/2018
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	12/7/2015	8/29/2018
Denied	Usi Insurance Services LLC	669260	Agent - Property
Denied	Usi Insurance Services LLC	669260	Agent - Casualty