DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Thomas N	DOIID	609700	NAIC NPN	965996

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	6/4/2005	10/31/2011
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	6/4/2005	10/31/2011
Inactive	Non Resident	Agent	Health	6/4/2005	10/31/2011
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/25/2005	12/24/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/25/2005	12/24/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	6/25/2005	12/24/2009
Inactive	MetLife Investors Insurance Company	301872	Agent - Health	4/18/2011	10/31/2011
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	4/18/2011	10/31/2011
Inactive	MetLife Investors Insurance Company	301872	Agent - Variable Life and Variable Annuities	4/18/2011	10/31/2011
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	4/18/2011	10/31/2011
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	4/18/2011	10/31/2011
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	4/18/2011	10/31/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/18/2011	10/31/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/18/2011	10/31/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	4/18/2011	10/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Wealth Brokerage Insurance Agency, LLC	547888	Agent - Health	5/2/2011	10/31/2011
Inactive	Wells Fargo Wealth Brokerage Insurance Agency, LLC	547888	Agent - Life	5/2/2011	10/31/2011
Inactive	Wells Fargo Wealth Brokerage Insurance Agency, LLC	547888	Agent - Variable Life and Variable Annuities	5/2/2011	10/31/2011