DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Broderson, Kelly Glenn	DOIID	593927	NAIC NPN	8199619

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/31/2004	7/1/2006
Inactive	Resident	Agent	Health	8/31/2004	7/1/2006
* 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	8/31/2004	5/16/2006
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/31/2004	5/16/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	5/31/2005	7/1/2006
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	5/31/2005	7/1/2006