DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Holly Lee	DOIID	591259	NAIC NPN	8148744

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/30/2004	3/17/2012
Inactive	Resident	Agent	Health	8/30/2004	3/17/2012
* 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	Hartford Life Group Insurance Company	301708	Agent - Health	9/28/2004	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	9/28/2004	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/28/2004	12/11/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/28/2004	12/11/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	1/16/2007	12/11/2009
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	1/16/2007	12/11/2009