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.

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