DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roach, Kelly H	DOIID	741364	NAIC NPN	8434192

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	10/29/2010	5/31/2017
Inactive	Non Resident	Agent	Health	10/29/2010	5/31/2017
Inactive	Non Resident	Agent	Casualty	10/29/2010	5/31/2017
Inactive	Non Resident	Agent	Property	10/29/2010	5/31/2017
Inactive	Non Resident	Agent	Life	10/29/2010	5/31/2017
* 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	United of Omaha Life Insurance Company	300156	Agent - Health	4/12/2013	5/31/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/12/2013	5/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medassets Insurance Solutions, LLC	744290	Agent - Life	12/14/2010	9/8/2016
Inactive	Medassets Insurance Solutions, LLC	744290	Agent - Health	12/14/2010	9/8/2016
Inactive	Medassets Insurance Solutions, LLC	744290	Agent - Property	8/3/2015	9/8/2016
Inactive	Medassets Insurance Solutions, LLC	744290	Agent - Casualty	8/3/2015	9/8/2016