DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Michael O	DOIID	865471	NAIC NPN	370604

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	1/11/2015	1/31/2026
Pending Replacement	Non Resident	Agent	Life	1/11/2015	1/31/2026
* 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
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	3/7/2016
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	3/22/2016
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Life	3/22/2016
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	4/22/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	9/25/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/22/2019	4/22/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/22/2019	4/22/2024
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	2/18/2017	3/19/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	7/18/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	9/25/2024
Pending Replacement	Coventry Health and Life Insurance Company	301771	Agent - Health	3/7/2016
Pending Replacement	First Health Life & Health Insurance Company	301735	Agent - Health	3/7/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/6/2015	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/6/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/6/2015	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	2/6/2015	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	2/6/2015	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/6/2015	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/6/2015	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/6/2015	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/6/2015	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/6/2015	11/3/2015
Pending Replacement	Mutual of Omaha Insurance Company	301012	Agent - Health	11/15/2021
Inactive	Omaha Insurance Company	751908	Agent - Health	2/7/2017	12/22/2017
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Pending Replacement	United World Life Insurance Company	300532	Agent - Health	4/5/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/11/2015	7/18/2024
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/11/2015	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	7/18/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/1/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/1/2019	12/29/2021

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	6/23/2019	4/23/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/23/2019	4/23/2024