PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBallard, Kelly WayneDOIID334849NAIC NPN1502834
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentProperty3/2/19992/9/2000 
InactiveResidentAgentLife12/11/20036/5/2005 
InactiveResidentAgentHealth12/11/20036/5/2005 
ActiveResidentIndependent AdjusterProperty & Casualty10/6/2015 5/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Independent Adjuster03/15/202505/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life and Accident Insurance Company301362Agent - Health12/11/20036/5/2005
InactiveAmerican General Life and Accident Insurance Company301362Agent - Life12/11/20036/5/2005
InactiveIllinois Mutual Life Insurance Company301479Agent - Health10/15/19972/9/1998
InactiveIllinois Mutual Life Insurance Company301479Agent - Life10/15/19972/9/1998
InactiveOakwood Insurance Company300453Agent - Property3/2/19992/9/2000
InactivePioneer Life Insurance Company300110Agent - Health12/8/19972/9/1998
InactivePioneer Life Insurance Company300110Agent - Life12/8/19972/9/1998
InactiveSouthwestern Life Insurance Company301343Agent - Health1/8/19982/17/1998
InactiveSouthwestern Life Insurance Company301343Agent - Life1/8/19982/17/1998
InactiveWestern National Life Insurance Company300461Agent - Life10/12/19992/22/2000
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCustard Insurance Adjusters Inc.401182Independent Adjuster - Property & Casualty3/8/20177/25/2022

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