DEPARTMENT OF INSURANCE

Affiliations

Name	Kelley, Roger J	DOIID	324097	NAIC NPN	1471767

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/30/1987	12/31/2021
Inactive	Resident	Agent	Variable Life and Variable Annuities	1/24/2002	12/31/2021
Inactive	Resident	Agent	Life	6/30/1987	12/31/2021
Inactive	Resident	Agent	Health Maintenance Organization	4/2/1991	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Advantage Care, Inc.	300998	Agent - Health Maintenance Organization	6/22/1995	12/1/2000
Inactive	Aetna Health Inc.	300694	Agent - Health	4/30/2001	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	7/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/30/2001	7/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/30/2001	7/30/2012
Inactive	All Savers Insurance Company	301940	Agent - Health	4/10/2012	1/11/2017
Inactive	All Savers Insurance Company	301940	Agent - Life	2/6/2015	1/11/2017
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	3/11/1996	9/3/1998
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	3/11/1996	9/3/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/23/2009	1/7/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/23/2009	1/7/2016
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	8/27/2009	12/31/2021
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/27/2009	12/31/2021
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	5/18/2006	6/5/2015
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	5/18/2006	12/31/2021
Inactive	American United Life Insurance Company	300498	Agent - Health	6/24/2004	5/17/2015
Inactive	American United Life Insurance Company	300498	Agent - Life	6/24/2004	5/17/2015
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	5/30/2001	11/8/2004
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	5/30/2001	11/8/2004
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	7/12/1995	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/24/1995	3/6/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/24/1995	3/6/2021
Inactive	Assurity Life Insurance Company	301099	Agent - Health	12/6/2016	12/18/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Life	12/6/2016	12/18/2018
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/1/2001	3/31/2019
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	6/15/1995	3/1/2001
Inactive	Berkshire Life Insurance Company	301158	Agent - Health	3/19/2001	7/1/2001
Inactive	Berkshire Life Insurance Company	301158	Agent - Life	3/19/2001	7/1/2001
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	12/22/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	12/22/2011
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	1/23/2009	12/31/2021
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	1/23/2009	12/31/2021
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	11/29/2004
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	5/27/1997	3/1/2001
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	9/19/2013	12/31/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/19/2013	12/31/2021
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	7/29/2004	12/31/2021
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	7/29/2004	12/31/2021
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/3/1997	10/27/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/3/1997	10/27/2006
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/27/2008	3/14/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/27/2008	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/27/2008	7/2/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	9/19/2013	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	9/19/2013	6/11/2014
Inactive	Continental American Insurance Company	301700	Agent - Health	11/19/2011	12/20/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	11/19/2011	12/20/2016
Inactive	Continental Casualty Company	301019	Agent - Health	8/20/2001	11/14/2005
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	3/19/2012	12/30/2013
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	3/19/2012	12/30/2013
Inactive	Dental Care Plus Inc.	301495	Agent - Health	2/27/2006	12/31/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/17/2002	12/31/2021
Inactive	DentiCare, Inc.	300655	Agent - Health	4/18/2002	11/1/2005
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	2/10/1997	4/10/2003
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	2/10/1997	4/10/2003
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	5/19/2010	12/31/2021
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	5/19/2010	12/31/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/7/2006	10/13/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/7/2006	10/13/2008
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	9/5/2007	1/10/2016
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	3/19/2018	12/31/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	3/19/2018	12/31/2021
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	3/25/2002	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	3/25/2002	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/13/2012	1/30/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/13/2012	1/30/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/6/2021	12/31/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/6/2021	12/31/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	12/31/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/2/1991	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	5/22/1996	12/31/2021
Inactive	Humana Insurance Company	301104	Agent - Life	5/22/1996	12/31/2021
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/6/2021	12/31/2021
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/6/2021	12/31/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/6/2021	12/31/2021
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/6/2021	12/31/2021
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/16/2001	5/13/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Health	7/28/2009	8/26/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	7/28/2009	8/26/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	5/9/2012	1/21/2017
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	5/9/2012	1/21/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	8/9/2018
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/8/2013	10/29/2015
Inactive	Life Insurance Company of North America	300711	Agent - Health	10/26/2012	12/31/2021
Inactive	Life Insurance Company of North America	300711	Agent - Life	10/26/2012	12/31/2021
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/19/2010	12/31/2021
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/19/2010	12/31/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/12/2016	12/31/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/12/2016	12/31/2021
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	5/7/1997	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	5/7/1997	3/31/2001
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/11/2009	8/15/2012
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/6/2002	11/16/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/6/2002	11/16/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	2/6/2002	11/16/2006
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	3/18/1999	2/13/2014
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	6/30/1987	2/13/2014
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	6/30/1987	2/13/2014
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Variable Life and Variable Annuities	1/24/2002	2/13/2014
Inactive	Principal Life Insurance Company	300129	Agent - Health	11/23/1987	12/31/2021
Inactive	Principal Life Insurance Company	300129	Agent - Life	11/23/1987	12/31/2021
Inactive	Principal Life Insurance Company	300129	Agent - Variable Life and Variable Annuities	11/21/2008	12/31/2021
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/18/2002	12/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/18/2002	12/15/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/17/2006	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/17/2006	12/30/2009
Inactive	Standard Insurance Company	300185	Agent - Health	6/12/2019	12/31/2021
Inactive	Standard Insurance Company	300185	Agent - Life	6/12/2019	12/31/2021
Inactive	Standard Insurance Company	300185	Agent - Variable Life and Variable Annuities	6/12/2019	12/31/2021
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	4/22/2002	1/11/2010
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	2/4/2009	1/12/2016
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	2/4/2009	1/12/2016
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	2/21/2002	12/14/2006
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	2/21/2002	12/14/2006
Inactive	Superior Dental Care Inc.	300418	Agent - Health	1/11/2010	11/27/2018
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	4/21/2004	8/11/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	4/21/2004	8/11/2009
Inactive	Time Insurance Company	300683	Agent - Health	5/13/1999	12/14/2004
Inactive	Time Insurance Company	300683	Agent - Life	5/13/1999	12/14/2004
Inactive	Transamerica Assurance Company	300893	Agent - Health	4/19/2002	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	4/19/2002	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/30/2004	8/11/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/30/2004	8/11/2015
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	4/19/2002	3/4/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	4/19/2002	3/4/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/19/2002	2/28/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/19/2002	2/28/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	2/17/2006	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	2/17/2006	12/30/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	9/3/2002	12/18/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	9/3/2002	12/18/2020
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	9/26/2006	1/7/2013
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	9/26/2006	1/7/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/11/2009	8/15/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/11/2009	8/15/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Variable Life and Variable Annuities	9/11/2009	8/15/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/5/2005	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/5/2005	12/14/2009
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	12/14/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	12/14/1995	3/31/1997
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/5/2005	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	11/25/1996	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/5/2005	12/14/2009
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	8/20/2001	11/14/2005
Denied	Wilcac Life Insurance Company	301573	Agent - Life

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Lexington Inc.	401285	Agent - Life	7/7/1995	12/10/2001
Inactive	Acordia of Lexington Inc.	401285	Agent - Health	7/7/1995	12/10/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/25/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/25/1999	6/23/2008
Inactive	Associated Benefits Ltd.	398481	Agent - Life	11/1/2001	3/31/2006
Inactive	Associated Benefits Ltd.	398481	Agent - Health	11/1/2001	3/31/2006
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/29/2019	12/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/10/2013	3/8/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/10/2013	3/8/2021
Inactive	Epic Ins Solutions Agency Llc	961527	Agent - Life	9/8/2017	3/31/2021
Inactive	Epic Ins Solutions Agency Llc	961527	Agent - Health	9/8/2017	3/31/2021
Inactive	Epic Ins Solutions LLC	802896	Agent - Life	2/21/2014	3/5/2019
Inactive	Epic Ins Solutions LLC	802896	Agent - Health	2/21/2014	3/5/2019
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	11/12/2018	5/19/2021
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Health	11/12/2018	5/19/2021
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Variable Life and Variable Annuities	11/12/2018	5/19/2021
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Strategic Employee Benefit Services of Kentucky-Indiana Inc	618184	Agent - Life	10/26/2005	3/31/2015
Inactive	Strategic Employee Benefit Services of Kentucky-Indiana Inc	618184	Agent - Health	10/26/2005	3/31/2015