DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Haynes, Kelley	DOIID	1006687	NAIC NPN	18877438

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/24/2018	7/31/2022
Inactive	Non Resident	Agent	Life	8/24/2018	7/31/2022
* 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	8/13/2020	7/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/13/2020	7/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/13/2020	7/31/2022
Inactive	Continental American Insurance Company	301700	Agent - Health	9/5/2018	8/2/2022
Inactive	Continental American Insurance Company	301700	Agent - Life	9/5/2018	8/2/2022
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	9/15/2020	8/7/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/1/2018	7/31/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/1/2018	7/31/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/13/2020	7/31/2022
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/1/2018	7/31/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/1/2018	7/31/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/1/2018	7/31/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/26/2020	2/21/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/26/2020	2/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/26/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/26/2020	2/21/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/17/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/17/2020	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	2/1/2019	7/31/2022
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	2/1/2019	7/31/2022