DEPARTMENT OF INSURANCE

Affiliations

Name	Khattak, Kelly	DOIID	616136	NAIC NPN	8516668

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/28/2019	3/31/2021
Inactive	Non Resident	Agent	Health	8/28/2019	3/31/2021
Inactive	Non Resident	Agent	Property	12/29/2014	12/10/2015
Inactive	Non Resident	Agent	Casualty	12/29/2014	12/10/2015
* 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	Anthem Life Insurance Company	301209	Agent - Health	9/12/2019	4/7/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/12/2019	4/7/2020
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	1/5/2015	12/10/2015
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	1/5/2015	12/10/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/5/2015	12/10/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/5/2015	12/10/2015
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/9/2020	9/15/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/5/2020	4/18/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/13/2005	11/14/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/13/2005	11/14/2007
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	10/13/2005	11/14/2007
Inactive	Progressive Max Insurance Company	301034	Agent - Property	10/13/2005	11/14/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/13/2005	11/14/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/13/2005	11/14/2007
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	10/13/2005	11/14/2007
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	10/13/2005	11/14/2007
Inactive	Progressive Specialty Insurance Company	300797	Agent - Casualty	10/13/2005	11/14/2007
Inactive	Progressive Specialty Insurance Company	300797	Agent - Property	10/13/2005	11/14/2007
Inactive	United Financial Casualty Company	301886	Agent - Casualty	8/3/2007	10/1/2012
Inactive	United Financial Casualty Company	301886	Agent - Property	8/3/2007	10/1/2012
Inactive	United World Life Insurance Company	300532	Agent - Health	10/5/2020	4/18/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/5/2020	4/18/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/5/2020	4/18/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/25/2019	3/31/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/25/2019	3/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/19/2019	4/7/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/19/2019	3/31/2021
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	8/1/2007	10/1/2012
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	8/1/2007	10/1/2012