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DEPARTMENT OF INSURANCE
Affiliations
Name
Kelly, Tanya M
DOIID
612290
NAIC NPN
1776913
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Property
8/12/2016
12/31/2024
Active
Non Resident
Agent
Life
8/28/2014
12/31/2024
Active
Non Resident
Agent
Casualty
8/12/2016
12/31/2024
Active
Non Resident
Agent
Health
8/28/2014
12/31/2024
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
10/15/2024
12/31/2024
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American Modern Home Insurance Company
300791
Agent - Casualty
9/18/2018
5/1/2023
Inactive
American Modern Home Insurance Company
300791
Agent - Property
9/18/2018
5/1/2023
Inactive
American Modern Property and Casualty Insurance Company
301954
Agent - Casualty
11/4/2021
1/2/2024
Inactive
American Modern Property and Casualty Insurance Company
301954
Agent - Property
11/4/2021
1/2/2024
Inactive
American Modern Select Insurance Company
581481
Agent - Casualty
4/27/2017
11/14/2021
Inactive
American Modern Select Insurance Company
581481
Agent - Property
4/27/2017
11/14/2021
Active
Anthem Health Plans of New Hampshire, Inc.
944064
Agent - Health
9/26/2021
Active
Anthem Insurance Companies, Inc.
300941
Agent - Health
9/26/2021
Active
Anthem Life Insurance Company
301209
Agent - Health
11/20/2014
Active
Anthem Life Insurance Company
301209
Agent - Life
11/20/2014
Inactive
Bristol West Insurance Company
301655
Agent - Casualty
4/25/2017
8/3/2021
Inactive
Bristol West Insurance Company
301655
Agent - Property
4/25/2017
8/3/2021
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
2/18/2016
6/23/2016
Active
Compcare Health Services Insurance Corporation
948751
Agent - Health
9/26/2021
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
11/18/2014
6/23/2016
Inactive
Electric Insurance Company
301758
Agent - Casualty
4/26/2021
12/6/2023
Inactive
Electric Insurance Company
301758
Agent - Property
4/26/2021
12/6/2023
Inactive
Farmers Casualty Insurance Company
301616
Agent - Casualty
8/1/2005
8/31/2006
Inactive
Farmers Casualty Insurance Company
301616
Agent - Property
8/1/2005
8/31/2006
Inactive
Farmers Direct Property and Casualty Insurance Company
300957
Agent - Casualty
8/19/2016
5/18/2021
Inactive
Farmers Direct Property and Casualty Insurance Company
300957
Agent - Property
8/19/2016
5/18/2021
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - Casualty
8/19/2016
5/18/2021
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - Property
8/19/2016
5/18/2021
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
4/26/2023
2/27/2024
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
4/26/2023
2/27/2024
Inactive
Golden Rule Insurance Company
301943
Agent - Health
10/1/2015
1/5/2017
Inactive
Golden Rule Insurance Company
301943
Agent - Life
10/1/2015
1/5/2017
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
11/18/2014
6/23/2016
Inactive
Humana Insurance Company
301104
Agent - Health
11/18/2014
6/23/2016
Inactive
Humana Insurance Company
301104
Agent - Life
11/18/2014
6/23/2016
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
3/15/2016
6/23/2016
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
3/15/2016
6/23/2016
Inactive
Kanawha Insurance Company
300127
Agent - Health
3/16/2016
6/23/2016
Inactive
Kanawha Insurance Company
300127
Agent - Life
3/16/2016
6/23/2016
Inactive
Metropolitan General Insurance Company
300709
Agent - Casualty
8/1/2005
8/31/2006
Inactive
Metropolitan General Insurance Company
300709
Agent - Property
8/1/2005
8/31/2006
Inactive
Time Insurance Company
300683
Agent - Health
9/30/2014
7/24/2016
Inactive
Time Insurance Company
300683
Agent - Life
9/30/2014
7/24/2016
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
7/1/2015
12/2/2016
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
7/1/2015
12/2/2016
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
10/1/2015
11/4/2016
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
10/1/2015
11/4/2016
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
7/1/2015
3/2/2021
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
7/1/2015
4/30/2018
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Dental Choice Agency Inc.
398085
Agent - Health
8/7/2015
Active
Designated Agent Company Inc.
681257
Agent - Health
11/20/2014
Active
Designated Agent Company Inc.
681257
Agent - Life
11/20/2014
Inactive
Electric Insurance Agency, LLC
521813
Agent - Property
4/29/2021
12/6/2023
Inactive
Electric Insurance Agency, LLC
521813
Agent - Casualty
4/29/2021
12/6/2023
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