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.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202510/31/2025   
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
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/14/202112/19/2024
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 
InactiveAssurity Life Insurance Company301099Agent - Health2/21/202212/12/2024
InactiveAssurity Life Insurance Company301099Agent - Life2/21/202212/12/2024
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 
InactiveDental Concern Inc. (The)301641Agent - Health4/6/202112/12/2024
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 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health8/29/201912/12/2024
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/200112/12/2024
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization1/26/19993/1/2001
ActiveHumana Insurance Company301104Agent - Health9/23/1998 
ActiveHumana Insurance Company301104Agent - Life9/23/1998 
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/13/201612/12/2024
InactiveHumana Insurance Company of Kentucky300826Agent - Life12/13/201612/12/2024
InactiveHumana Medical Plan, Inc.801568Agent - Health4/19/201712/12/2024
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health4/19/201712/12/2024
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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