DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Jim	DOIID	352964	NAIC NPN	7192769

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Personal Property & Unemployment	12/6/1994	9/30/1996
Inactive	Resident	Agent	Credit Life & Health	9/25/1992	3/31/1999
* 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	Bestow Life Insurance Company	300577	Agent - Credit Life & Health	5/13/1996	6/10/1996
Inactive	First Colonial Insurance Company	300752	Agent - Credit Personal Property & Unemployment	5/11/1995	6/14/1996
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	10/25/1994	3/31/1999
Inactive	Standard Guaranty Insurance Company	300902	Agent - Credit Personal Property & Unemployment	5/13/1996	9/30/1996
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Credit Personal Property & Unemployment	12/6/1994	5/30/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cardinal Credit Corporation	399827	Agent - Credit Life & Health	11/17/1994	6/24/1996
Inactive	Peoples Bank & Trust Company	399405	Agent - Credit Life & Health	9/25/1992	3/31/1999