DEPARTMENT OF INSURANCE
Affiliations
NameKelly, Thomas ADOIID320434NAIC NPN1338645
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/13/1998 5/31/2025
ActiveNon ResidentAgentLife8/13/1998 5/31/2025
* 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
InactiveCIGNA Health & Life Insurance Company301783Agent - Health8/13/19984/9/2003
InactiveCIGNA Health & Life Insurance Company301783Agent - Life8/13/19984/9/2003
InactiveHartford Life and Accident Insurance Company300878Agent - Health9/13/200511/16/2011
InactiveHartford Life and Accident Insurance Company300878Agent - Life9/13/200511/16/2011
InactivePrincipal Life Insurance Company300129Agent - Health10/28/199811/30/2009
InactivePrincipal Life Insurance Company300129Agent - Life10/28/199811/30/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Health8/5/19999/28/2007
InactiveTalcott Resolution Life Insurance Company301759Agent - Life8/5/19999/28/2007
InactiveUnion Security Insurance Company301844Agent - Health6/24/20021/9/2015
InactiveUnion Security Insurance Company301844Agent - Life6/24/20021/9/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUSI Insurance Services National, Inc509421Agent - Life1/3/20121/9/2015
InactiveUSI Insurance Services National, Inc509421Agent - Health1/3/20121/9/2015
DeniedUsi Insurance Services LLC669260Agent - Life  
DeniedUsi Insurance Services LLC669260Agent - Health  
InactiveWells Fargo Ins Services Of New York Inc569345Agent - Life7/18/20071/5/2012
InactiveWells Fargo Ins Services Of New York Inc569345Agent - Health7/18/20071/5/2012

© Commonwealth of Kentucky. All rights reserved.