DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, David Edward	DOIID	312402	NAIC NPN	7161384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	4/19/1991	7/14/1997
Inactive	Resident	Agent	Life	10/10/1983	12/1/2000
Inactive	Resident	Agent	Health	10/10/1983	12/1/2000
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	7/30/1996	12/1/2000
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/30/1996	12/1/2000
Inactive	Conseco Insurance Company	301202	Agent - Life	7/9/1996	11/6/1998
Inactive	Continental Casualty Company	301019	Agent - Health	1/28/1994	12/1/2000
Inactive	Continental General Insurance Company	300691	Agent - Health	10/2/1996	9/8/1997
Inactive	Continental General Insurance Company	300691	Agent - Life	10/2/1996	9/8/1997
Inactive	Family Life Insurance Company	300356	Agent - Health	2/22/1999	11/15/1999
Inactive	Family Life Insurance Company	300356	Agent - Life	2/22/1999	11/15/1999
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	4/23/1997	12/1/2000
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	4/23/1997	12/1/2000
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	10/21/1996	10/6/1997
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	10/21/1996	10/6/1997
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/31/1986	3/31/1997
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/31/1986	3/31/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/19/1991	7/14/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/6/1996	1/29/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/6/1996	1/29/1998
Inactive	John Alden Life Insurance Company	300573	Agent - Health	11/4/1985	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	11/4/1985	3/31/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Health	11/7/1991	12/1/2000
Inactive	LifeUSA Insurance Company	300386	Agent - Life	11/7/1991	12/1/2000
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Health	3/4/1995	10/31/1996
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	3/4/1995	10/31/1996
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Health	11/15/1995	12/1/2000
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Life	11/15/1995	12/1/2000
Inactive	United American Insurance Company	300910	Agent - Health	8/15/1910	10/6/1997
Inactive	United American Insurance Company	300910	Agent - Life	8/15/1910	10/6/1997
Inactive	United Presidential Life Insurance Company	300422	Agent - Life	6/13/1997	12/1/2000
Inactive	Wilco Life Insurance Company	300122	Agent - Life	11/23/1998	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	7/15/1996	12/1/2000
Inactive	Medlink Inc	400721	Agent - Life	7/15/1996	12/1/2000