DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, David Eugene	DOIID	603974	NAIC NPN	2061126

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	12/31/2008	9/30/2027
Active	Non Resident	Agent	Property	4/9/2007	9/30/2027
Active	Non Resident	Agent	Casualty	4/9/2007	9/30/2027
Active	Non Resident	Agent	Health	3/28/2005	9/30/2027
Active	Non Resident	Agent	Life	3/28/2005	9/30/2027
* 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
Active	All Savers Insurance Company	301940	Agent - Health	10/10/2025
Active	All Savers Insurance Company	301940	Agent - Life	10/10/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/15/2011	5/9/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/15/2011	5/18/2017
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/22/2017
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/22/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/13/2013	3/14/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/12/2009	12/19/2019
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	5/23/2013
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	5/23/2013
Active	Golden Rule Insurance Company	301943	Agent - Health	5/3/2010
Active	Golden Rule Insurance Company	301943	Agent - Life	5/3/2010
Inactive	HM Life Insurance Company	301408	Agent - Health	1/31/2019	9/30/2021
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	4/12/2007	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	4/12/2007	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	4/12/2007	12/16/2010
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	4/12/2007	12/16/2010
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	4/12/2007	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	4/12/2007	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	4/12/2007	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	4/12/2007	11/5/2008
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/19/2014
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/19/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	4/12/2007	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	4/12/2007	11/5/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/28/2008	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	1/28/2008	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	1/28/2008	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/9/2009	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/9/2009	12/19/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/9/2009	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/9/2009	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/26/2011	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/26/2011	10/22/2015
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	7/28/2010	12/4/2020
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	7/28/2010	12/4/2020
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	2/10/2011
Active	National Guardian Life Insurance Company	300596	Agent - Health	3/26/2021
Active	Nationwide Life Insurance Company	300495	Agent - Health	3/29/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	3/29/2021
Inactive	Omaha Insurance Company	751908	Agent - Health	7/13/2012	8/8/2018
Active	Pan-American Life Insurance Company	301530	Agent - Health	10/25/2021
Active	Pan-American Life Insurance Company	301530	Agent - Life	10/25/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/5/2017	7/17/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/5/2017	7/17/2020
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	4/12/2007	11/5/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	4/12/2007	11/5/2008
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	2/22/2012
Inactive	Time Insurance Company	300683	Agent - Health	7/30/2014	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	7/30/2014	11/23/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/28/2005	11/8/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/28/2005	11/8/2010
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	10/28/2005	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	10/28/2005	10/1/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	4/12/2007	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	4/12/2007	11/5/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/5/2017	7/17/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/5/2017	7/17/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	2/10/2011
Active	United of Omaha Life Insurance Company	300156	Agent - Life	2/10/2011
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/10/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	10/10/2025
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/10/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/10/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/15/2011	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	4/15/2011	11/2/2016
Active	Kelly & Associates Ins Group Inc.	616214	Agent - Health	12/8/2009
Active	Kelly & Associates Ins Group Inc.	616214	Agent - Life	4/24/2009
Active	Kelly & Associates Ins Group Inc.	616214	Administrator - Not Applicable	12/31/2008
Active	Kelly Integrated Workers Compensation Strategies, Inc.	652408	Agent - Casualty	4/18/2007
Active	Kelly Integrated Workers Compensation Strategies, Inc.	652408	Agent - Property	4/18/2007