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.

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