DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dorsey, Kelley C.	DOIID	539316	NAIC NPN	1902651

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/9/2001	3/31/2014
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/20/2008	2/24/2011
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	4/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/28/2010	3/31/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/9/2001	7/25/2007
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	12/8/2008	3/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Call Center, Inc	695480	Agent - Health	1/5/2009	3/31/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/20/2008	7/31/2009