DEPARTMENT OF INSURANCE

Affiliations

Name	Kieley, Thomas Maurice	DOIID	371503	NAIC NPN	1486014

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	6/27/1983	1/31/2009
Inactive	Non Resident	Agent	Health	6/27/1983	1/31/2009
Inactive	Non Resident	Agent	Health Maintenance Organization	7/16/1987	3/1/2001
* 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	Aetna Health Inc.	300694	Agent - Health	7/9/2003	12/31/2007
Inactive	Aetna Health Inc.	300694	Agent - Life	7/9/2003	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	1/31/2009
Inactive	Aetna Health Inc. (PA)	660717	Agent - Life	12/31/2007	1/31/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/9/2003	1/31/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/9/2003	1/31/2009
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	7/16/1987	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/9/1999	1/31/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/9/1999	1/31/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	1/31/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	5/7/1997	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	7/11/1995	1/31/2009
Inactive	Humana Insurance Company	301104	Agent - Life	7/11/1995	1/31/2009
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	1/31/2009
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	1/31/2009
Inactive	Standard Insurance Company	300185	Agent - Health	4/7/2003	1/31/2009
Inactive	Standard Insurance Company	300185	Agent - Life	4/7/2003	1/31/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/20/1992	3/31/1997
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/20/1992	3/31/1997
Inactive	Union Central Life Insurance Company	300307	Agent - Health	11/12/2008	1/31/2009
Inactive	Union Central Life Insurance Company	300307	Agent - Life	11/12/2008	1/31/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	7/26/2002	12/28/2007
Inactive	Union Security Insurance Company	301844	Agent - Life	7/26/2002	12/28/2007

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	8/24/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/24/1999	6/23/2008
Inactive	Medlink Inc	400721	Agent - Life	11/23/1998	1/31/2009
Inactive	Medlink Inc	400721	Agent - Health	11/23/1998	1/31/2009