DEPARTMENT OF INSURANCE

Affiliations

Name	Partin Jr, Kelly	DOIID	327295	NAIC NPN	7010590

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	9/15/2004		6/30/2026
Active	Resident	Agent	Health	9/15/2004		6/30/2026
Active	Resident	Agent	Life	9/15/2004		6/30/2026
Denied	Resident	Agent	Casualty
Inactive	Resident	Temporary Agent	Debit (Temporary Health)	8/26/1998	9/21/1998
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	8/2/1998	9/21/1998
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	06/03/2024	06/03/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	11/28/2007	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/21/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/28/2007	9/21/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/28/2007	9/21/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	1/29/2007	1/7/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/29/2007	1/7/2008
Inactive	American Continental Insurance Company	643130	Agent - Health	2/26/2013	11/11/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	2/26/2013	11/11/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/28/2012	3/22/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/28/2012	3/22/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	5/5/2007	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	5/5/2007	10/25/2012
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	10/30/2006	8/10/2007
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	10/30/2006	8/10/2007
Inactive	American General Life and Accident Insurance Company	301362	Temporary Agent - Debit (Temporary Health)	8/26/1998	9/21/1998
Inactive	American General Life and Accident Insurance Company	301362	Temporary Agent - Ordinary Life (Temporary Life)	8/2/1998	9/21/1998
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	1/29/2008	8/12/2009
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	5/10/2007	12/22/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Health	1/13/2012	12/9/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	1/13/2012	12/9/2014
Active	Athene Annuity and Life Company	301893	Agent - Life	10/19/2010
Inactive	Augustar Life Insurance Company	301816	Agent - Life	7/29/2005	5/24/2006
Inactive	Columbian Life Insurance Company	300810	Agent - Life	6/4/2015	4/3/2017
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/15/2004	5/4/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/15/2004	5/4/2006
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/26/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/26/2013	5/20/2016
Active	Elips Life Insurance Company	301087	Agent - Health	4/21/2022
Inactive	Encova Life Insurance Company	301818	Agent - Life	5/5/2011	12/27/2013
Inactive	Everlake Life Insurance Company	300873	Agent - Life	4/19/2005	5/4/2006
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/17/2014	1/3/2018
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/15/2004	3/10/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/15/2004	3/10/2005
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/10/2014	1/3/2017
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	2/10/2014	1/3/2017
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	5/30/2002	1/16/2003
Inactive	Lumico Life Insurance Company	300354	Agent - Health	10/11/2020	11/1/2022
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	5/10/2007	12/22/2008
Inactive	Midland National Life Insurance Company	300923	Agent - Life	4/27/2015	10/1/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/16/2008	11/1/2010
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	9/15/2004	5/18/2006
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/15/2004	5/18/2006
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	9/15/2004	5/5/2006
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/19/2015	3/9/2017
Inactive	Oakwood Insurance Company	300453	Agent - Property	4/21/1999	8/14/2000
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	12/17/2001	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	12/17/2001	3/31/2003
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	9/15/2004	8/29/2005
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	9/15/2004	8/29/2005
Inactive	Provident American Life & Health Insurance Company	300413	Agent - Health	8/25/2006	11/28/2008
Inactive	Provident American Life & Health Insurance Company	300413	Agent - Life	8/25/2006	11/28/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Health	9/15/2004	6/26/2006
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/15/2004	6/26/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Health	9/15/2004	6/26/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Life	9/15/2004	6/26/2006
Inactive	Royal Neighbors of America	301646	Agent - Life	3/4/2013	10/30/2015
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	5/21/2007	3/31/2009
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	7/14/2006	12/19/2006
Inactive	State Farm General Insurance Company	301122	Agent - Property	7/14/2006	12/19/2006
Inactive	State Farm Life Insurance Company	301810	Agent - Life	7/14/2006	12/19/2006
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	7/14/2006	12/19/2006
Inactive	Time Insurance Company	300683	Agent - Health	7/14/2006	12/19/2006
Active	Transamerica Life Insurance Company	300571	Agent - Health	1/20/2010
Active	Transamerica Life Insurance Company	300571	Agent - Life	1/20/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/29/2011	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/29/2011	10/1/2020
Inactive	Union Security Insurance Company	301844	Agent - Health	10/29/2007	1/11/2015
Inactive	United American Insurance Company	300910	Agent - Health	7/6/2000	2/12/2001
Inactive	United American Insurance Company	300910	Agent - Life	7/6/2000	2/12/2001
Inactive	United Investors Life Insurance Company	301873	Agent - Life	10/17/2000	2/12/2001
Inactive	United World Life Insurance Company	300532	Agent - Health	4/16/2008	11/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/11/2015	8/22/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/11/2015	8/22/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/3/2007	12/15/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/3/2007	12/15/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/3/2007	12/15/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/3/2007	12/15/2009
Inactive	Western National Life Insurance Company	300461	Agent - Life	9/15/2004	5/5/2006
Inactive	Wilco Life Insurance Company	300122	Agent - Life	8/2/2001	12/26/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Life	10/8/2007
Active	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Health	10/8/2007
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Inactive	National City Insurance Group Inc.	399045	Agent - Life	12/21/2005	7/7/2006
Inactive	National City Insurance Group Inc.	399045	Agent - Health	12/21/2005	6/26/2006