DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Greenough, Kelly	DOIID	1011058	NAIC NPN	18865746

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/21/2018	8/31/2020
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/14/2019	4/7/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/5/2018	7/25/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/14/2019	7/25/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/29/2018	7/25/2019
Inactive	Humana Insurance Company	301104	Agent - Health	12/3/2018	7/25/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/12/2018	7/25/2019

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	3/14/2019	4/7/2020
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	4/7/2020