PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameKelly, Martin DavidDOIID358393NAIC NPN256070
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
PendingNon ResidentAdministratorNot Applicable   
InactiveNon ResidentAgentGeneral Lines5/8/19918/15/2000 
InactiveNon ResidentAgentCasualty7/29/20023/31/2021 
InactiveNon ResidentAgentLife8/11/19923/31/2021 
InactiveNon ResidentAgentProperty7/29/20023/31/2021 
InactiveNon ResidentAgentHealth8/11/19923/31/2021 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - Health4/19/20033/31/2021
InactiveChicago Insurance Company300295Agent - General Lines11/20/19913/31/1996
InactiveContinental Casualty Company301019Agent - Health3/13/20038/10/2005
InactiveDoctors Company, an Interinsurance Exchange (The)301946Agent - General Lines5/8/19913/31/1996
InactiveGreat American Insurance Company301586Agent - Casualty7/26/20057/2/2019
InactiveGreat American Insurance Company301586Agent - Property7/26/20057/2/2019
InactiveGulf Insurance Company300761Agent - Casualty7/29/20021/31/2005
InactiveGulf Insurance Company300761Agent - Property7/29/20021/31/2005
InactiveHartford Life Group Insurance Company301708Agent - Health3/13/200312/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life3/13/200312/31/2006
InactiveHartford Life and Accident Insurance Company300878Agent - Health4/21/200412/7/2009
InactiveHartford Life and Accident Insurance Company300878Agent - Life4/21/200412/7/2009
InactiveMutual of Omaha Insurance Company301012Agent - Health9/3/20034/18/2021
InactiveNational Guardian Life Insurance Company300596Agent - Health5/17/20133/31/2021
InactiveNew York Life Insurance Company300431Agent - Health8/11/19923/31/1997
InactiveNew York Life Insurance Company300431Agent - Life8/11/19923/31/1997
InactiveReliance Insurance Company300785Agent - Casualty2/13/20016/5/2001
InactiveReliance Insurance Company300785Agent - Property2/13/20016/5/2001
InactiveReliance National Indemnity Company301939Agent - General Lines3/11/19938/15/2000
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty2/24/200312/9/2013
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property2/24/200312/9/2013
InactiveTime Insurance Company300683Agent - Health9/20/201411/25/2019
InactiveTime Insurance Company300683Agent - Life9/20/201411/25/2019
InactiveUNUM Life Insurance Company of America300817Agent - Health8/29/199712/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life8/29/199712/30/2009
InactiveUnion Security Insurance Company301844Agent - Health1/20/20032/19/2021
InactiveUnion Security Insurance Company301844Agent - Life1/20/20032/19/2021
InactiveUnitedHealthcare Insurance Company300946Agent - Health11/30/201211/30/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life11/30/201211/30/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health11/30/201211/30/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health11/30/201211/30/2016
InactiveWellfleet Insurance Company300542Agent - Health2/26/20203/31/2021
InactiveWilcac Life Insurance Company301573Agent - Health3/13/20038/10/2005
InactiveWilcac Life Insurance Company301573Agent - Life3/13/20038/10/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAssociation Service Office Inc.395296Administrator - Not Applicable2/27/19921/1/1996
PendingIndependent School Management Inc397636Administrator - Not Applicable  
InactiveIsm Insurance, Inc.397638Agent - Life6/7/20043/31/2021
InactiveIsm Insurance, Inc.397638Agent - Health6/7/20043/31/2021
InactiveIsm Insurance, Inc.397638Agent - Property7/29/20023/31/2021
InactiveIsm Insurance, Inc.397638Agent - Casualty7/29/20023/31/2021

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