DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Herl, Kelly D	DOIID	318882	NAIC NPN	7167272

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health Maintenance Organization	4/18/2000	3/1/2001
Inactive	Resident	Agent	Health	4/18/2000	4/30/2024
Inactive	Resident	Agent	Life	4/18/2000	4/30/2024
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	5/10/2012	3/14/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/20/2012	12/19/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/24/2015	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/16/2018	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/18/2012	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/18/2000	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	5/18/2012	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Life	5/18/2012	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/10/2012	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/10/2012	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/24/2015	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/5/2016	12/19/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/10/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/10/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/10/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/10/2012	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Life	5/10/2012	12/13/2022
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Health	5/10/2012	12/13/2022