Individual Information

JEFFREY DEAN KIESAU

SAN DIEGO, CA 92131-1036

Active

jkiesau@american-national.com

10/16/2015

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3114961	10/16/2015	Active	10/16/2015	10/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/16/2015	Active	10/16/2015
Life	10/16/2015	Active	10/16/2015
Property	10/16/2015	Active	10/16/2015

Company Name	Appointment Type	Status	Active Date
1097
AMERICAN NATIONAL GENERAL INSURANCE COMPANY	Casualty	Active	10/19/2015
	Property	Active	10/19/2015
63
Company Name	Appointment Type	Status	Active Date
AMERICAN NATIONAL INSURANCE COMPANY	Life	Active	10/16/2015
856
Company Name	Appointment Type	Status	Active Date
AMERICAN NATIONAL PROPERTY AND CASUALTY COMPANY	Casualty	Active	10/19/2015
	Property	Active	10/19/2015
1639
Company Name	Appointment Type	Status	Active Date
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	12/15/2021
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	07/29/2020
	Property	Active	07/29/2020
1281
Company Name	Appointment Type	Status	Active Date
HOMESITE INSURANCE COMPANY	Casualty	Active	10/23/2023
	Property	Active	10/23/2023
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	07/17/2019
	Property	Active	07/17/2019
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	07/17/2019
	Property	Active	07/17/2019

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
KIESAU INSURANCE SERVICES LLC	Designated Resp Lic Prdcr	Agency	02/23/2021	-

1 - 1