DEPARTMENT OF INSURANCE
Affiliations
NameKelly, Robert HDOIID371047NAIC NPN7200631
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth11/22/19786/1/2004 
InactiveResidentAgentLife11/22/19786/1/2004 
InactiveResidentAgentVariable Life and Variable Annuities5/31/20016/1/2004 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveConseco Medical Insurance Company300719Agent - Health2/16/19943/31/1997
InactiveConseco Medical Insurance Company300719Agent - Life2/16/19943/31/1997
InactiveDirect General Life Insurance Company301045Agent - Health7/3/19965/13/1999
InactiveDirect General Life Insurance Company301045Agent - Life7/3/19965/13/1999
InactiveFirst Colony Life Insurance Company301179Agent - Life9/9/19913/31/1997
InactiveGolden Rule Insurance Company301943Agent - Health4/14/198711/12/1998
InactiveGolden Rule Insurance Company301943Agent - Life4/14/198711/12/1998
InactiveMutual of Omaha Insurance Company301012Agent - Health11/12/19975/12/2003
InactiveNYLIFE Insurance Company of Arizona301642Agent - Health10/17/19906/1/2004
InactiveNYLIFE Insurance Company of Arizona301642Agent - Life10/17/19906/1/2004
InactiveNew York Life Insurance Company300431Agent - Health11/22/19786/1/2004
InactiveNew York Life Insurance Company300431Agent - Life11/22/19786/1/2004
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health11/24/19816/1/2004
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life11/24/19816/1/2004
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities1/8/20016/1/2004
InactivePaul Revere Life Insurance Company300971Agent - Health7/31/19976/1/2004
InactivePaul Revere Life Insurance Company300971Agent - Life7/25/19953/31/1997
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life6/25/19962/28/2003
InactiveArison Insurance Services, Inc.401001Agent - Health6/25/19962/28/2003

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