DEPARTMENT OF INSURANCE

Affiliations

Name	Mack, Kaylan	DOIID	898965	NAIC NPN	17771560

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/23/2017	10/31/2025
Active	Non Resident	Agent	Health	5/4/2022	10/31/2025
Active	Non Resident	Agent	Casualty	11/16/2015	10/31/2025
Active	Non Resident	Agent	Property	11/16/2015	10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/28/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/28/2024
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/23/2017	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/23/2017	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/19/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/19/2016	11/14/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/10/2021	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/10/2021	12/20/2024
Active	Countryway Insurance Company	300809	Agent - Casualty	10/12/2017
Active	Countryway Insurance Company	300809	Agent - Property	10/12/2017
Inactive	Erie Family Life Insurance Company	301400	Agent - Health	6/2/2022	6/4/2024
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	9/13/2017	6/4/2024
Inactive	Erie Insurance Company	300230	Agent - Casualty	11/19/2015	12/2/2022
Inactive	Erie Insurance Company	300230	Agent - Property	11/19/2015	12/2/2022
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	11/19/2015	12/2/2022
Inactive	Erie Insurance Exchange	300789	Agent - Property	11/19/2015	12/2/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/10/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/10/2021
Active	Kentucky National Insurance Company	301625	Agent - Casualty	8/11/2021
Active	Kentucky National Insurance Company	301625	Agent - Property	8/11/2021
Inactive	Milbank Insurance Company	925185	Agent - Casualty	3/6/2020	1/18/2021
Inactive	Milbank Insurance Company	925185	Agent - Property	3/6/2020	1/18/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	1/31/2025
Inactive	National Specialty Insurance Company	300993	Agent - Casualty	8/22/2022	3/10/2025
Inactive	National Specialty Insurance Company	300993	Agent - Property	8/22/2022	3/10/2025
Inactive	Next Insurance US Company	1083825	Agent - Casualty	8/8/2022	3/12/2025
Inactive	Next Insurance US Company	1083825	Agent - Property	8/8/2022	3/12/2025
Active	Reserve National Insurance Company	301073	Agent - Health	6/10/2022
Inactive	Reserve National Insurance Company	301073	Agent - Life	10/7/2021	2/14/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/19/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/19/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020	1/18/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020	1/18/2021
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	8/22/2022	3/10/2025
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	8/22/2022	3/10/2025
Active	United Insurance Company of America	300775	Agent - Health	6/10/2022
Inactive	West Bend Insurance Company	672974	Agent - Casualty	1/8/2018	1/27/2021
Inactive	West Bend Insurance Company	672974	Agent - Property	1/8/2018	1/27/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Carosella Insurance Agency, LLC	878337	Agent - Property	7/26/2016
Active	Carosella Insurance Agency, LLC	878337	Agent - Casualty	7/26/2016