DEPARTMENT OF INSURANCE

Affiliations

Name	Dix, Kelly Dix	DOIID	349816	NAIC NPN	547251

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	1/3/2002		5/31/2026
Active	Resident	Agent	Health	9/6/1994		5/31/2026
Inactive	Resident	Agent	Health Maintenance Organization	3/1/1991	3/1/2001
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	6/23/2005	7/1/2009
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/23/2005	7/1/2009
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	8/4/2005	3/23/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	3/20/2009	5/17/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	3/20/2009	5/17/2010
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/12/2017	4/10/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/28/2005	12/9/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/28/2005	12/9/2014
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	2/25/2010	6/13/2011
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	10/29/2004	5/8/2013
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	3/23/2005	8/2/2005
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	3/23/2005	8/2/2005
Inactive	Columbian Life Insurance Company	300810	Agent - Life	7/19/2022	4/24/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/15/2009	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/15/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	12/15/2009	7/2/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/21/2005	12/8/2015
Inactive	Encova Life Insurance Company	301818	Agent - Life	2/11/2005	3/18/2013
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	11/6/2009	3/31/2011
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	4/26/2004	3/14/2012
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/29/2021	3/13/2023
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	5/16/2007	7/26/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/29/2005	9/19/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/29/2005	9/19/2009
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	4/10/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/1/1991	3/1/2001
Inactive	Humana Insurance Company	300118	Agent - Health	9/6/1994	1/3/2002
Inactive	Humana Insurance Company	301104	Agent - Health	1/3/2002	4/10/2018
Inactive	Humana Insurance Company	300118	Agent - Life	9/6/1994	1/3/2002
Inactive	Humana Insurance Company	301104	Agent - Life	1/3/2002	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/27/2004	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/27/2004	4/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/10/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/20/2005	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/20/2005	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	1/4/2007	11/9/2009
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	1/4/2007	11/9/2009
Inactive	Independent Order of Foresters	300743	Agent - Life	7/13/2018	12/24/2019
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	5/21/2004	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	5/21/2004	6/7/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/26/2010	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/26/2010	10/22/2015
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	9/12/2005	9/15/2006
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	9/12/2005	9/15/2006
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/16/2009	12/17/2012
Inactive	Pan-American Assurance Company	301533	Agent - Health	9/23/2004	8/22/2006
Inactive	Pan-American Assurance Company	301533	Agent - Life	9/23/2004	8/22/2006
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	9/23/2004	8/22/2006
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	9/23/2004	8/22/2006
Inactive	Principal Life Insurance Company	300129	Agent - Health	7/29/2004	12/12/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	7/29/2004	12/12/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	7/9/2009	8/27/2014
Inactive	Reserve National Insurance Company	301073	Agent - Health	7/23/2013	7/5/2016
Inactive	Reserve National Insurance Company	301073	Agent - Life	7/23/2013	7/5/2016
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	8/30/2004	1/20/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	8/30/2004	1/20/2008
Inactive	Time Insurance Company	300683	Agent - Health	8/12/2004	10/6/2005
Inactive	Time Insurance Company	300683	Agent - Life	8/12/2004	10/6/2005
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/19/2018	11/11/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/19/2018	11/11/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/7/2018	11/11/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/7/2018	11/11/2019
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	7/13/2004	9/26/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/14/2021	6/22/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/14/2021	6/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	1/2/2007	1/10/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	6/1/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	4/10/2018
Inactive	Medlink Inc	400721	Agent - Life	10/24/2010	6/1/2020
Inactive	Medlink Inc	400721	Agent - Health	10/24/2010	4/10/2018