DEPARTMENT OF INSURANCE
Affiliations
NameKelly, Justin DOIID1035052NAIC NPN18802909
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities4/2/20198/31/2021 
InactiveNon ResidentAgentLife4/2/20198/31/2021 
InactiveNon ResidentAgentHealth4/2/20198/31/2021 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health5/1/20198/31/2021
InactiveAmerican General Life Insurance Company301585Agent - Life5/1/20198/31/2021
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities5/1/20198/31/2021
InactiveBanner Life Insurance Company301696Agent - Life4/10/201910/21/2019
InactiveBrighthouse Life Insurance Company301829Agent - Life4/11/201910/22/2019
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities4/12/201910/22/2019
InactiveForethought Life Insurance Company301407Agent - Health4/3/20198/31/2021
InactiveForethought Life Insurance Company301407Agent - Life4/3/20198/31/2021
InactiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities4/3/20198/31/2021
InactiveLincoln National Life Insurance Company (The)301382Agent - Life5/8/20198/31/2021
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/8/20198/31/2021
InactiveNationwide Life Insurance Company300495Agent - Health4/10/201912/5/2019
InactiveNationwide Life Insurance Company300495Agent - Life4/10/201912/5/2019
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/10/201912/5/2019
InactivePrincipal Life Insurance Company300129Agent - Health4/30/20198/31/2021
InactivePrincipal Life Insurance Company300129Agent - Life4/30/20198/31/2021
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities4/30/20198/31/2021
InactivePrincipal National Life Insurance Company301926Agent - Health4/30/20198/31/2021
InactivePrincipal National Life Insurance Company301926Agent - Life4/30/20198/31/2021
InactivePrincipal National Life Insurance Company301926Agent - Variable Life and Variable Annuities4/30/20198/31/2021
InactivePruco Life Insurance Company300954Agent - Life4/15/201910/21/2019
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities4/15/201910/21/2019
InactiveTransamerica Life Insurance Company300571Agent - Life4/10/201911/22/2019
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/10/201911/22/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life6/16/20208/31/2021
InactiveMerrill Lynch Life Agency Inc.400527Agent - Health6/16/20208/31/2021
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities6/16/20208/31/2021
InactiveMorgan Stanley Insurance Services Inc644934Agent - Life4/10/201910/21/2019
InactiveMorgan Stanley Insurance Services Inc644934Agent - Health4/10/201910/21/2019
InactiveMorgan Stanley Insurance Services Inc644934Agent - Variable Life and Variable Annuities4/10/201910/21/2019

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