DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly & Associates Ins Group Inc.	DOIID	616214	NAIC NPN	2012946

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	12/31/2008	3/31/2027
Active	Non Resident	Agent	Health	10/28/2005	3/31/2027
Active	Non Resident	Agent	Life	10/28/2005	3/31/2027
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/10/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/15/2011	11/2/2016
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/15/2011	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/15/2011	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/15/2011	11/2/2016
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/18/2017
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/18/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/25/2008	3/14/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/25/2008	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	6/26/2013
Active	Dental Concern Inc. (The)	301641	Agent - Health	1/12/2009
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	5/21/2013
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	5/21/2013
Active	Golden Rule Insurance Company	301943	Agent - Health	5/1/2010
Active	Golden Rule Insurance Company	301943	Agent - Life	5/1/2010
Inactive	HM Life Insurance Company	301408	Agent - Health	1/31/2019	9/30/2021
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/14/2007
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/14/2007
Active	Humana Health Plan, Inc.	300142	Agent - Health	7/25/2014
Active	Humana Insurance Company	301104	Agent - Health	1/28/2008
Active	Humana Insurance Company	301104	Agent - Life	1/28/2008
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	1/9/2009
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	1/9/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/9/2009	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/9/2009	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/9/2009	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/9/2009	10/22/2015
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/3/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/3/2024
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	7/29/2010	12/4/2020
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	7/29/2010	12/4/2020
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	1/28/2020
Active	National Guardian Life Insurance Company	300596	Agent - Health	3/26/2021
Active	Nationwide Life Insurance Company	300495	Agent - Health	3/26/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	3/26/2021
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	9/9/2014
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	9/9/2014
Active	ReliaStar Life Insurance Company	301712	Agent - Health	11/12/2021
Active	ReliaStar Life Insurance Company	301712	Agent - Life	11/12/2021
Active	SilverScript Insurance Company	663526	Agent - Health	10/19/2019
Active	Standard Insurance Company	300185	Agent - Health	12/10/2021
Active	Standard Insurance Company	300185	Agent - Life	12/10/2021
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	2/21/2012
Active	Starmount Life Insurance Company	628031	Agent - Health	4/27/2023
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	6/29/2017
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	6/29/2017
Inactive	Time Insurance Company	300683	Agent - Health	7/6/2011	11/15/2019
Inactive	Time Insurance Company	300683	Agent - Life	7/6/2011	11/15/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/9/2005	7/26/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/9/2005	7/26/2016
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	11/9/2005	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	11/9/2005	10/1/2008
Active	UNUM Life Insurance Company of America	300817	Agent - Health	9/9/2014
Active	UNUM Life Insurance Company of America	300817	Agent - Life	9/9/2014
Active	United of Omaha Life Insurance Company	300156	Agent - Health	1/28/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Life	1/28/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/5/2015	2/14/2017
Active	Unum Insurance Company	301499	Agent - Health	4/27/2023
Active	Unum Insurance Company	301499	Agent - Life	4/27/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/12/2025
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/12/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Kelly, David Eugene	603974	Administrator - Not Applicable	12/31/2008
Active	Kelly, David Eugene	603974	Agent - Health	12/8/2009
Active	Kelly, David Eugene	603974	Agent - Life	4/24/2009