DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Chris Joseph	DOIID	802244	NAIC NPN	16695380

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/7/2023		6/30/2026
Active	Non Resident	Agent	Health	2/7/2023		6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Health	3/17/2016	6/30/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	3/17/2016	6/30/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/16/2013	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/16/2013	12/8/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/5/2013	7/1/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/5/2013	7/1/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/16/2013	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/16/2013	6/30/2016
Inactive	Humana Insurance Company	301104	Agent - Health	2/16/2013	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	2/16/2013	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/16/2013	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/16/2013	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/16/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/16/2013	10/22/2015
Inactive	Time Insurance Company	300683	Agent - Health	2/13/2013	4/19/2014
Inactive	Time Insurance Company	300683	Agent - Life	2/13/2013	4/19/2014
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	7/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Surecare Ins Solutions LLC	802894	Agent - Health	2/3/2013	6/30/2016