DEPARTMENT OF INSURANCE
Affiliations
NameKelly, Demetrice LDOIID1067517NAIC NPN16835006
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife12/6/20193/31/2024 
InactiveNon ResidentAgentHealth12/6/20193/31/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArcadian Health Plan, Inc.728196Agent - Health9/27/202111/1/2023
InactiveCompBenefits Insurance Company301864Agent - Health9/27/202111/1/2023
InactiveDental Concern Inc. (The)301641Agent - Health11/17/202111/1/2023
InactiveGerber Life Insurance Company300529Agent - Health12/10/20196/29/2021
InactiveGerber Life Insurance Company300529Agent - Life12/10/20196/29/2021
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/3/202211/1/2023
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/3/202211/1/2023
InactiveHumana Insurance Company301104Agent - Health9/27/202111/1/2023
InactiveHumana Medical Plan, Inc.801568Agent - Health9/27/202111/1/2023
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health2/9/202211/1/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedHumana MarketPOINT Inc.398092Agent - Life  
InactiveHumana MarketPOINT Inc.398092Agent - Health6/9/202211/1/2023

© Commonwealth of Kentucky. All rights reserved.