DEPARTMENT OF INSURANCE

Affiliations

Name	Mackey, Kelly B	DOIID	356858	NAIC NPN	7194468

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	11/15/1994	7/1/1996
Inactive	Resident	Agent	Life	11/15/1994	7/1/1996
* 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	Bankers United Life Assurance Company	300296	Agent - Health	11/29/1994	7/1/1996
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	11/29/1994	7/1/1996
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	12/19/1994	7/1/1996
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/19/1994	7/1/1996
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	11/17/1994	7/1/1996
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	11/17/1994	7/1/1996
Inactive	Continental Casualty Company	301019	Agent - Health	12/6/1994	7/1/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/17/1994	7/1/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/17/1994	7/1/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/15/1994	7/1/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/15/1994	7/1/1996
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	11/21/1994	7/1/1996
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	11/21/1994	7/1/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	4/4/1995	7/1/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	4/4/1995	7/1/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Health	11/29/1994	7/1/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Life	11/29/1994	7/1/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	11/15/1994	7/1/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	11/15/1994	7/1/1996
Inactive	Reliable Life Insurance Company (The)	301716	Agent - Health	12/6/1994	7/1/1996
Inactive	Reliable Life Insurance Company (The)	301716	Agent - Life	12/6/1994	7/1/1996
Inactive	Time Insurance Company	300683	Agent - Health	12/9/1994	7/1/1996
Inactive	Time Insurance Company	300683	Agent - Life	12/9/1994	7/1/1996
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/15/1994	7/1/1996
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	12/14/1995	7/1/1996
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	12/14/1995	7/1/1996
Inactive	Washington National Insurance Company	300587	Agent - Health	1/17/1995	7/1/1996
Inactive	Washington National Insurance Company	300587	Agent - Life	1/17/1995	7/1/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	7/1/1996
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	7/1/1996