DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Kelly Jan	DOIID	1141085	NAIC NPN	19604293

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/22/2021	7/31/2024
Inactive	Non Resident	Agent	Life	6/22/2021	7/31/2024
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	1/5/2022	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	9/29/2021	7/31/2024
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/22/2021	7/31/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/29/2021	7/31/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/22/2021	7/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/22/2021	7/31/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	8/15/2023	7/31/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	8/15/2023	7/31/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/16/2023	1/15/2024
Inactive	Capitol Life Insurance Company	301514	Agent - Health	9/7/2021	7/31/2024
Inactive	Capitol Life Insurance Company	301514	Agent - Life	9/7/2021	7/31/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/11/2023	9/20/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/29/2021	7/31/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/29/2021	7/31/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/4/2023	7/31/2024
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	7/31/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/15/2021	2/17/2023
Inactive	Medico Insurance Company	301559	Agent - Health	12/20/2021	12/21/2022
Inactive	Medico Insurance Company	301559	Agent - Life	12/20/2021	12/21/2022
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/15/2023	7/31/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/22/2021	7/31/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/11/2023	9/20/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/1/2021	2/14/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/1/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2023	9/20/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/14/2022	10/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	6/9/2022	10/11/2023
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/9/2022	10/11/2023