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DEPARTMENT OF INSURANCE
Affiliations
Name
Kelly, Patricia L
DOIID
384769
NAIC NPN
415593
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
12/15/2003
11/30/2015
Inactive
Non Resident
Agent
Health
12/15/2003
11/30/2015
* 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
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
9/22/2009
1/11/2016
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
9/22/2009
1/11/2016
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Health
1/30/2004
11/30/2015
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Life
1/30/2004
11/30/2015
Inactive
Combined Insurance Company of America
301472
Agent - Health
11/24/1997
9/30/1999
Inactive
Combined Insurance Company of America
301472
Agent - Life
11/24/1997
9/30/1999
Inactive
First Colony Life Insurance Company
301179
Agent - Life
6/2/1998
9/30/1999
Inactive
Kanawha Insurance Company
300127
Agent - Health
10/18/2004
11/30/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
10/18/2004
11/30/2015
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
1/8/2004
11/30/2015
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
1/8/2004
11/30/2015
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
1/16/2004
11/30/2015
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
1/16/2004
11/30/2015
Inactive
ReliaStar Life Insurance Company of New York
301018
Agent - Health
1/16/2004
6/25/2008
Inactive
ReliaStar Life Insurance Company of New York
301018
Agent - Life
1/16/2004
6/25/2008
Inactive
Trustmark Insurance Company
300317
Agent - Health
10/25/2005
2/11/2011
Inactive
Trustmark Insurance Company
300317
Agent - Life
10/25/2005
2/11/2011
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
The Farmington Company
534046
Agent - Life
1/27/2004
11/30/2015
Inactive
The Farmington Company
534046
Agent - Health
1/27/2004
11/30/2015
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