DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelley, Kolleen Kay	DOIID	350716	NAIC NPN	7191773

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	11/11/1996	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	2/27/2004	6/30/2006
* 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	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	11/14/1996	3/31/1997
Inactive	Heritage Life Insurance Company	300081	Agent - Credit Life & Health	2/14/1997	8/7/2000
Inactive	Heritage Life Insurance Company	300081	Agent - Limited Line Credit	8/7/2000	2/5/2001
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	2/27/2004	6/30/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citizens State Bank	399070	Agent - Credit Life & Health	11/11/1996	8/7/2000
Inactive	Citizens State Bank	399070	Agent - Limited Line Credit	1/31/2005	5/5/2006