DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Henrietta Pamela	DOIID	370040	NAIC NPN	7200231

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	10/29/2010		4/30/2026
Active	Resident	Agent	Health	10/29/2010		4/30/2026
Active	Resident	Agent	Life	9/24/2010		4/30/2026
Active	Resident	Agent	Property	10/29/2010		4/30/2026
Inactive	Resident	Agent	General Lines	4/8/1994	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	5 Star Life Insurance Company	300673	Agent - Health	9/25/2006	1/16/2009
Inactive	5 Star Life Insurance Company	300673	Agent - Life	9/25/2006	1/16/2009
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	7/18/2005	4/13/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/18/2005	4/13/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/8/2011	10/23/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/8/2011	10/23/2011
Inactive	Assurity Life Insurance Company	301099	Agent - Health	6/6/2003	11/30/2005
Inactive	Assurity Life Insurance Company	301099	Agent - Life	6/6/2003	11/30/2005
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	8/12/2003	6/30/2005
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	8/12/2003	6/30/2005
Inactive	Columbian Life Insurance Company	300810	Agent - Health	6/13/2003	10/21/2003
Inactive	Columbian Life Insurance Company	300810	Agent - Life	10/7/2010	8/26/2024
Inactive	Companion Life Insurance Company	300191	Agent - Health	11/2/1994	9/18/1998
Inactive	Companion Life Insurance Company	300191	Agent - Life	11/2/1994	9/18/1998
Inactive	Continental General Insurance Company	300691	Agent - Health	10/6/1992	7/19/1999
Inactive	Continental General Insurance Company	300691	Agent - Life	10/6/1992	7/19/1999
Inactive	Genworth Life Insurance Company	300623	Agent - Health	11/26/2001	12/23/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/26/2001	12/23/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/28/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/28/2005	11/10/2008
Inactive	Liberty Life Insurance Company	301542	Agent - Health	6/26/1991	6/30/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Life	6/26/1991	6/30/2005
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	7/27/2001	2/7/2005
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	7/27/2001	2/7/2005
Inactive	LifeUSA Insurance Company	300386	Agent - Health	11/6/1991	7/24/2000
Inactive	LifeUSA Insurance Company	300386	Agent - Life	11/6/1991	7/24/2000
Inactive	Omni Indemnity Company	301456	Agent - Casualty	8/15/2000	11/1/2002
Inactive	Omni Indemnity Company	301456	Agent - General Lines	7/3/2000	8/15/2000
Inactive	Omni Indemnity Company	301456	Agent - Property	8/15/2000	11/1/2002
Inactive	Omni Insurance Company	301545	Agent - General Lines	4/8/1994	3/31/2000
Inactive	Oxford Life Insurance Company	301079	Agent - Health	10/2/2006	6/5/2009
Inactive	Oxford Life Insurance Company	301079	Agent - Life	7/25/2016	5/16/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/21/1999	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/21/1999	10/24/2003
Inactive	Royal Neighbors of America	301646	Agent - Life	8/2/2016	3/31/2025
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	9/18/1998	6/5/2000
Inactive	Time Insurance Company	300683	Agent - Health	12/1/2003	7/12/2005
Inactive	Time Insurance Company	300683	Agent - Life	12/1/2003	7/12/2005
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	11/1/2002
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	7/3/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	11/1/2002
Inactive	Unity Financial Life Insurance Company	301054	Agent - Life	9/29/2006	4/30/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	11/30/2010	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	1/25/2002	6/5/2009