DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Headley, Kaley	DOIID	1292484	NAIC NPN	20226164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/17/2023		3/31/2026
Active	Non Resident	Agent	Life	8/17/2023		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/29/2023	10/30/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/29/2023	10/30/2023
Inactive	Tier One Insurance Company	301056	Agent - Health	9/4/2023	10/23/2023
Inactive	Tier One Insurance Company	301056	Agent - Life	9/4/2023	10/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sutherland Global Services Inc	601788	Agent - Life	8/29/2023	10/30/2023
Inactive	Sutherland Global Services Inc	601788	Agent - Health	8/29/2023	10/30/2023