DEPARTMENT OF INSURANCE
Affiliations
NameKelly, Thomas WaltonDOIID306990NAIC NPN7158737
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth2/6/1987 10/31/2025
ActiveResidentAgentLife2/6/1987 10/31/2025
InactiveResidentAgentHealth Maintenance Organization1/26/19993/1/2001 
InactiveResidentAgentGeneral Lines12/4/199112/16/1998 
* 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
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health10/10/2019 
ActiveAetna Health and Life Insurance Company300523Agent - Health2/11/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health10/10/2019 
InactiveAmerican Continental Insurance Company643130Agent - Life2/11/20208/11/2021
InactiveAmerican General Life Insurance Company301585Agent - Health6/14/200410/25/2012
InactiveAmerican General Life Insurance Company301585Agent - Life6/14/200410/25/2012
InactiveAnnuity Investors Life Insurance Company300715Agent - Health11/19/20109/20/2011
InactiveAnnuity Investors Life Insurance Company300715Agent - Life11/19/20109/20/2011
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/14/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health12/30/1996 
ActiveAnthem Life Insurance Company301209Agent - Life12/30/1996 
ActiveArcadian Health Plan, Inc.728196Agent - Health10/12/2017 
ActiveAssurity Life Insurance Company301099Agent - Health2/21/2022 
ActiveAssurity Life Insurance Company301099Agent - Life2/21/2022 
InactiveBanner Life Insurance Company301696Agent - Life2/29/201610/22/2020
InactiveBoston Mutual Life Insurance Company300143Agent - Health5/13/20049/12/2005
InactiveBoston Mutual Life Insurance Company300143Agent - Life5/13/20049/12/2005
InactiveCompBenefits Dental, Inc.591692Agent - Health1/4/201612/13/2016
ActiveCompcare Health Services Insurance Corporation948751Agent - Health10/14/2021 
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health2/11/2020 
ActiveDental Concern Inc. (The)301641Agent - Health4/6/2021 
InactiveEncova Life Insurance Company301818Agent - Life5/26/20041/1/2024
InactiveEquiTrust Life Insurance Company502870Agent - Life2/6/202011/13/2023
InactiveFirst Colony Life Insurance Company301179Agent - Health12/1/19981/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life12/1/19987/14/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health12/21/199912/24/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life12/21/199912/24/2008
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health4/14/200712/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life4/14/200712/7/2012
InactiveGolden Rule Insurance Company301943Agent - Health12/10/20151/13/2016
InactiveGolden Rule Insurance Company301943Agent - Life12/10/20151/13/2016
InactiveGreat American Casualty Insurance Company301764Agent - General Lines12/4/199112/16/1998
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/2014 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health8/29/2019 
ActiveHumana Health Plan, Inc.300142Agent - Health3/1/2001 
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization1/26/19993/1/2001
ActiveHumana Insurance Company301104Agent - Health9/23/1998 
ActiveHumana Insurance Company301104Agent - Life9/23/1998 
ActiveHumana Insurance Company of Kentucky300826Agent - Health12/13/2016 
ActiveHumana Insurance Company of Kentucky300826Agent - Life12/13/2016 
ActiveHumana Medical Plan, Inc.801568Agent - Health4/19/2017 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health4/19/2017 
InactiveHumanaDental Insurance Company301457Agent - Health4/30/20125/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life4/30/20125/13/2013
InactiveKanawha Insurance Company300127Agent - Health4/10/20088/9/2018
InactiveKanawha Insurance Company300127Agent - Life4/10/20088/9/2018
InactiveKentucky Health Cooperative, Inc.798780Agent - Health9/25/201410/29/2015
InactiveLife Investors Insurance Company of America301793Agent - Health4/26/20049/23/2004
InactiveLife Investors Insurance Company of America301793Agent - Life4/26/20049/23/2004
InactiveLincoln National Life Insurance Company (The)301382Agent - Health12/9/201310/30/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Life12/9/201310/30/2018
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health11/19/201012/26/2012
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life11/19/201012/26/2012
InactiveMutual of Omaha Insurance Company301012Agent - Health4/26/200611/1/2010
ActiveNorth American Company for Life and Health Insurance300291Agent - Life8/16/2015 
ActivePan-American Life Insurance Company301530Agent - Life1/1/2024 
ActivePrincipal Life Insurance Company300129Agent - Health11/20/2003 
ActivePrincipal Life Insurance Company300129Agent - Life11/20/2003 
InactiveProtective Life Insurance Company300638Agent - Health3/3/202111/23/2023
InactiveProtective Life Insurance Company300638Agent - Life3/3/202111/23/2023
InactivePuritan Life Insurance Company of America301892Agent - Health6/10/200812/4/2008
InactivePuritan Life Insurance Company of America301892Agent - Life6/10/200812/4/2008
InactiveReassure America Life Insurance Company301902Agent - Health6/5/20039/16/2004
InactiveReassure America Life Insurance Company301902Agent - Life6/5/20039/16/2004
InactiveResponse Worldwide Direct Auto Insurance Company300121Agent - General Lines12/4/199112/16/1998
InactiveSILAC Insurance Company300535Agent - Life3/26/20201/21/2022
ActiveSilverScript Insurance Company663526Agent - Health10/10/2019 
InactiveState Life Insurance Company301497Agent - Health3/23/20056/28/2006
InactiveState Life Insurance Company301497Agent - Life3/23/20056/28/2006
InactiveTime Insurance Company300683Agent - Health2/6/19873/30/2000
InactiveTime Insurance Company300683Agent - Life2/6/19873/30/2000
ActiveTransamerica Life Insurance Company300571Agent - Health6/4/2021 
ActiveTransamerica Life Insurance Company300571Agent - Life6/4/2021 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health11/19/201810/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life11/19/201810/1/2020
InactiveUnited World Life Insurance Company300532Agent - Health4/26/200611/1/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health4/26/200611/1/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/26/200611/1/2010
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health12/10/20151/13/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life12/10/20151/13/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health12/28/20151/13/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia Senior of The Southeast Inc.401297Agent - Life12/17/19962/10/2004
InactiveAcordia Senior of The Southeast Inc.401297Agent - Health12/17/19962/10/2004
InactiveAcordia of Louisville Inc.401252Agent - Life1/17/19972/28/2003
InactiveAcordia of Louisville Inc.401252Agent - Health1/17/19972/28/2003
InactiveArison Insurance Services, Inc.401001Agent - Life8/30/19996/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health8/30/19996/23/2008
ActiveDesignated Agent Company Inc.681257Agent - Life6/30/2008 
ActiveDesignated Agent Company Inc.681257Agent - Health6/30/2008 

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