DEPARTMENT OF INSURANCE
Affiliations
NameLewis, Kelley AnnetteDOIID573033NAIC NPN5019943
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife8/8/2003 10/31/2025
ActiveResidentAgentHealth8/12/2003 10/31/2025
ActiveResidentAgentVariable Life and Variable Annuities11/7/2003 10/31/2025
ActiveResidentAgentCasualty11/3/2003 10/31/2025
ActiveResidentAgentProperty11/3/2003 10/31/2025
* 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
InactiveHumana Health Plan, Inc.300142Agent - Health9/3/20109/7/2012
InactiveHumana Insurance Company301104Agent - Health9/3/20109/7/2012
InactiveHumana Insurance Company301104Agent - Life9/3/20109/7/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/3/20109/7/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/3/20109/7/2012
InactiveNassau Life Insurance Company301406Agent - Life5/10/200712/18/2010
InactiveNassau Life Insurance Company301406Agent - Variable Life and Variable Annuities5/10/200712/18/2010
InactivePHL Variable Insurance Company300525Agent - Life8/29/20061/31/2013
InactivePHL Variable Insurance Company300525Agent - Variable Life and Variable Annuities8/29/20061/31/2013
ActiveState Farm Fire and Casualty Company301809Agent - Casualty11/3/2003 
ActiveState Farm Fire and Casualty Company301809Agent - Property11/3/2003 
InactiveState Farm General Insurance Company301122Agent - Casualty11/3/200311/22/2010
InactiveState Farm General Insurance Company301122Agent - Property11/3/200311/22/2010
ActiveState Farm Life Insurance Company301810Agent - Life8/8/2003 
ActiveState Farm Life Insurance Company301810Agent - Variable Life and Variable Annuities11/7/2003 
ActiveState Farm Mutual Automobile Insurance Company301732Agent - Casualty11/3/2003 
ActiveState Farm Mutual Automobile Insurance Company301732Agent - Health8/12/2003 
InactiveTime Insurance Company300683Agent - Health12/31/20038/5/2016
InactiveTime Insurance Company300683Agent - Life12/31/20038/5/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveKelley Miller Insurance Agency, Inc.601127Agent - Health1/11/20052/22/2019
InactiveKelley Miller Insurance Agency, Inc.601127Agent - Life1/11/20052/22/2019
InactiveKelley Miller Insurance Agency, Inc.601127Agent - Casualty1/11/20052/22/2019
InactiveKelley Miller Insurance Agency, Inc.601127Agent - Property1/11/20052/22/2019
InactiveKelley Miller Insurance Agency, Inc.601127Agent - Variable Life and Variable Annuities1/11/20052/22/2019

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