DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelley, Michelle L	DOIID	1148461	NAIC NPN	6795389

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/2/2021		6/30/2027
Active	Non Resident	Agent	Health	8/2/2021		6/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025	04/22/2025	04/22/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	11/1/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	11/1/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	11/1/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Health	8/6/2021
Active	UNUM Life Insurance Company of America	300817	Agent - Life	8/6/2021
Active	Unum Insurance Company	301499	Agent - Health	11/1/2022
Active	Unum Insurance Company	301499	Agent - Life	11/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alliant Insurance Services Houston, LLC	520672	Agent - Life	9/7/2023
Active	Alliant Insurance Services Houston, LLC	520672	Agent - Health	9/7/2023
Active	Alliant Insurance Services, Inc.	551378	Agent - Life	9/7/2023
Active	Alliant Insurance Services, Inc.	551378	Agent - Health	9/7/2023