DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Robert A	DOIID	373814	NAIC NPN	1627774

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/3/1999	6/4/2014
Inactive	Non Resident	Agent	Life	8/3/1999	6/4/2014
* 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	Talcott Resolution Life Insurance Company	301759	Agent - Health	8/3/1999	11/22/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	8/3/1999	11/22/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Hays Group, (The)	560995	Agent - Life
Denied	Hays Group, (The)	560995	Agent - Health