DEPARTMENT OF INSURANCE
Affiliations
NameKelley, Teresa KarenDOIID326203NAIC NPN1797503
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth5/12/2021 6/30/2024
Pending ReplacementNon ResidentAgentVariable Life and Variable Annuities5/12/2021 6/30/2024
Pending ReplacementNon ResidentAgentLife5/12/2021 6/30/2024
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202406/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life6/30/200512/28/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities6/30/200512/28/2006
Pending ReplacementAmerican Equity Investment Life Insurance Company300389Agent - Life8/24/2022 
Pending ReplacementAmerican General Life Insurance Company301585Agent - Health1/20/2022 
Pending ReplacementAmerican General Life Insurance Company301585Agent - Life1/20/2022 
Pending ReplacementAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities1/20/2022 
InactiveAmerican National Insurance Company301861Agent - Health1/6/20055/17/2006
InactiveAmerican National Insurance Company301861Agent - Life1/6/20055/17/2006
Pending ReplacementAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life2/24/2022 
InactiveAnnuity Investors Life Insurance Company300715Agent - Health12/31/199711/23/1998
InactiveAnnuity Investors Life Insurance Company300715Agent - Life12/31/199711/23/1998
DeniedAugustar Life Assurance Corporation301113Agent - Life  
InactiveAugustar Life Insurance Company301816Agent - Life10/8/20027/3/2006
InactiveAugustar Life Insurance Company301816Agent - Variable Life and Variable Annuities2/3/20057/3/2006
InactiveBrighthouse Life Insurance Company301829Agent - Life11/14/201411/9/2017
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/201411/9/2017
InactiveChase Insurance Life and Annuity Company300518Agent - Health6/2/20064/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life6/2/20064/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Variable Life and Variable Annuities6/2/20064/1/2007
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Health12/31/199711/23/1998
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Life12/31/199711/23/1998
InactiveDelaware Life Insurance Company301256Agent - Life12/9/201312/16/2014
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities12/9/201312/16/2014
InactiveEquitable Financial Life Insurance Company300808Agent - Life4/13/200612/29/2016
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities4/13/200611/9/2017
InactiveEverlake Life Insurance Company300873Agent - Life6/8/200611/14/2013
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities6/8/200611/14/2013
Pending ReplacementFidelity & Guaranty Life Insurance Company301359Agent - Life10/5/2022 
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health8/1/20036/29/2006
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life8/1/20036/29/2006
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health1/4/20057/11/2006
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life1/4/20057/11/2006
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities1/4/20057/11/2006
InactiveGenworth Life Insurance Company300623Agent - Health1/5/200512/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life1/5/200512/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/4/20058/1/2006
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/4/20058/1/2006
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities1/4/20058/1/2006
InactiveGlenbrook Life and Annuity Company301384Agent - Life1/6/20035/20/2004
InactiveGolden Rule Insurance Company301943Agent - Health4/5/20066/23/2006
InactiveGolden Rule Insurance Company301943Agent - Life4/5/20066/23/2006
InactiveHumana Health Plan, Inc.300142Agent - Health3/20/20067/26/2006
InactiveHumana Insurance Company301104Agent - Health3/20/20067/26/2006
InactiveHumana Insurance Company301104Agent - Life3/20/20067/26/2006
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/20/20067/26/2006
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/20/20067/26/2006
InactiveIndependent Order of Foresters300743Agent - Health1/20/20222/28/2024
InactiveIndependent Order of Foresters300743Agent - Life1/20/20222/28/2024
InactiveJackson National Life Insurance Company300486Agent - Life8/17/20157/1/2018
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities8/17/20157/1/2018
InactiveJohn Hancock Life Insurance Company300821Agent - Health11/13/200312/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life11/13/200312/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities1/10/200512/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20084/18/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life1/3/20054/18/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities1/3/20054/18/2012
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life1/5/200512/14/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities1/5/200512/20/2006
InactiveKeyport Life Insurance Company300319Agent - Life12/4/199711/23/1998
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/9/20038/16/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/9/20038/16/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities8/28/20138/16/2018
InactiveManufacturers Life Insurance Company of North America301899Agent - Life12/4/199711/23/1998
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health8/7/20037/13/2006
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life8/7/20037/13/2006
InactiveMetLife Investors Insurance Company301872Agent - Health8/6/20035/19/2006
InactiveMetLife Investors Insurance Company301872Agent - Life6/25/201411/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities6/25/201411/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health7/23/20076/20/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life1/22/200711/19/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities7/3/20076/20/2014
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life1/12/200512/7/2007
InactiveMetropolitan Life Insurance Company301948Agent - Health1/5/20055/19/2006
InactiveMetropolitan Life Insurance Company301948Agent - Life1/5/20055/19/2006
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities1/5/20055/19/2006
InactiveMidland National Life Insurance Company300923Agent - Health3/2/200610/11/2006
InactiveMidland National Life Insurance Company300923Agent - Life3/2/200610/11/2006
InactiveNationwide Life Insurance Company300495Agent - Health4/24/200712/11/2017
InactiveNationwide Life Insurance Company300495Agent - Life4/10/200712/11/2017
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/10/200712/11/2017
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health1/3/201312/11/2017
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life4/10/200712/11/2017
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities4/10/200712/11/2017
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health10/7/20037/12/2004
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life10/12/200611/8/2017
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities1/4/20055/16/2006
InactivePacific Life Insurance Company301848Agent - Life6/13/201312/20/2017
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities6/13/201312/20/2017
InactivePeoples Benefit Life Insurance Company301895Agent - Life12/4/199711/23/1998
InactiveProtective Life Insurance Company300638Agent - Health4/1/20077/1/2018
InactiveProtective Life Insurance Company300638Agent - Life2/22/20077/1/2018
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities2/22/20077/1/2018
InactivePruco Life Insurance Company300954Agent - Health4/29/201011/9/2017
InactivePruco Life Insurance Company300954Agent - Life4/29/201011/9/2017
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities4/29/201011/9/2017
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life6/26/201212/31/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities6/26/201212/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Life12/31/201212/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Variable Life and Variable Annuities12/31/201212/31/2012
InactiveSymetra Life Insurance Company301691Agent - Health8/6/200311/9/2017
InactiveSymetra Life Insurance Company301691Agent - Life8/6/200311/9/2017
InactiveTalcott Resolution Life Insurance Company301759Agent - Health1/7/200512/22/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Life1/7/200512/22/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities1/7/200512/22/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health12/5/201312/22/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life12/5/201312/22/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities12/5/201312/22/2015
Pending ReplacementThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life2/9/2022 
InactiveTransamerica Life Insurance Company300571Agent - Health9/18/20087/1/2018
InactiveTransamerica Life Insurance Company300571Agent - Life9/18/200812/12/2017
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities9/18/200812/12/2017
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life12/8/199711/23/1998
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health5/21/200312/29/2003
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life5/21/200312/29/2003
InactiveUnited American Insurance Company300910Agent - Health12/18/199711/23/1998
InactiveUnited American Insurance Company300910Agent - Life12/18/199711/23/1998
InactiveUnited Home Life Insurance Company300421Agent - Life12/6/20213/6/2024
InactiveUnited of Omaha Life Insurance Company300156Agent - Health12/4/199711/23/1998
InactiveUnited of Omaha Life Insurance Company300156Agent - Life12/4/199711/23/1998
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/13/200611/30/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/13/200611/30/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/13/200611/30/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/13/200611/30/2016
InactiveVenerable Insurance and Annuity Company301006Agent - Life10/12/200712/22/2009
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities10/12/200712/22/2009
InactiveWest Coast Life Insurance Company301607Agent - Life5/3/20065/16/2006
InactiveWestern National Life Insurance Company300461Agent - Life12/30/200412/31/2012
InactiveWestern National Life Insurance Company300461Agent - Variable Life and Variable Annuities6/30/200912/31/2012
InactiveWestern-Southern Life Assurance Company301590Agent - Life6/1/20045/16/2006
Inactive300277Agent - Life1/3/20059/1/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveChase Insurance Agency, Inc.398324Agent - Life8/18/20157/1/2018
InactiveChase Insurance Agency, Inc.398324Agent - Health8/18/20157/1/2018
InactiveChase Insurance Agency, Inc.398324Agent - Variable Life and Variable Annuities8/18/20157/1/2018
InactiveMadison Insurance Agency Inc507083Agent - Life1/17/20067/14/2006
InactiveMadison Insurance Agency Inc507083Agent - Health1/17/20067/14/2006
InactiveUS Bancorp Investments, Inc.572662Agent - Life12/18/20034/15/2009
InactiveUS Bancorp Investments, Inc.572662Agent - Health12/18/20034/15/2009
InactiveUS Bancorp Investments, Inc.572662Agent - Variable Life and Variable Annuities12/18/20034/15/2009
InactiveUvest Financial Serv Group Inc.400567Agent - Life1/13/200611/30/2006
InactiveUvest Financial Serv Group Inc.400567Agent - Health1/13/200611/30/2006
InactiveUvest Financial Serv Group Inc.400567Agent - Variable Life and Variable Annuities1/13/200611/30/2006

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