black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KELCY LEWIS

PRODUCER NON-RESIDENT

License Number:
PRN346596
Status:
First Licensure:
12/27/2019
Cancel Date:
None

Mailing:
LOUISVILLE, KY 40228
Phone:
+1 (800) 524-7024
Fax:
+1 (855) 241-3262
Email:
kelcy.lewis@adp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/27/2019

Agency

Name Issue Date License Number Expiration Date Cancel Date
AUTOMATIC DATA PROCESSING INSURANCE AGENCY INC
12/27/2019 AGN69966

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762 04/25/2025
EMPLOYERS ASSURANCE COMPANY
02/24/2020 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
02/24/2020 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
02/24/2020 PCF285637
SECURITY NATIONAL INSURANCE COMPANY
08/10/2020 PCF189490 04/25/2025
SEQUOIA INSURANCE COMPANY
08/10/2020 PCF128467 04/25/2025
TECHNOLOGY INSURANCE COMPANY INC
08/10/2020 PCF136874 04/25/2025
WESCO INSURANCE COMPANY
08/10/2020 PCF49735 04/25/2025

Authority

Description Issue Date Termination Date Status
CASUALTY 12/27/2019 Active
PROPERTY 12/27/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19211924

Other Addresses

Address Type
11405 BLUEGRASS PKWY
LOUISVILLE, KY 40299-2349
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/23/2025 05:25:43 AM