DEPARTMENT OF INSURANCE

Affiliations

Name	Revell, Kay	DOIID	1140567	NAIC NPN	18121771

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/26/2024		4/30/2026
Active	Non Resident	Agent	Property	12/26/2024		4/30/2026
Inactive	Non Resident	Agent	Health	6/18/2021	11/15/2021
Inactive	Non Resident	Agent	Life	6/18/2021	11/15/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/25/2021	11/15/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/25/2021	11/15/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/25/2021	11/15/2021
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	12/26/2024	7/15/2025
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	12/26/2024	7/15/2025
Inactive	American General Life Insurance Company	301585	Agent - Health	10/15/2021	11/15/2021
Inactive	American General Life Insurance Company	301585	Agent - Life	10/15/2021	11/15/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	10/14/2021	11/15/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/2/2021	11/15/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/19/2021	11/15/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/19/2021	11/15/2021
Inactive	Homesite Insurance Company	301139	Agent - Casualty	12/26/2024	7/15/2025
Inactive	Homesite Insurance Company	301139	Agent - Property	12/26/2024	7/15/2025
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	12/26/2024	7/15/2025
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	12/26/2024	7/15/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/30/2021	11/15/2021
Inactive	Humana Insurance Company	301104	Agent - Health	9/2/2021	11/15/2021
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	10/26/2021	12/3/2021
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	12/26/2024	7/15/2025
Inactive	Midvale Indemnity Company	300292	Agent - Property	12/26/2024	7/15/2025
Denied	Pruco Life Insurance Company	300954	Agent - Life
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/25/2021	11/15/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/29/2021	11/15/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/29/2021	11/15/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/14/2021	11/15/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/14/2021	11/15/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/14/2021	11/15/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/14/2021	11/15/2021
Denied	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	1/10/2025	7/15/2025
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	1/10/2025	7/15/2025