DEPARTMENT OF INSURANCE
Affiliations
NameKelly, Keith JamesDOIID666277NAIC NPN8455152
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife10/16/20072/28/2010 
InactiveNon ResidentAgentHealth10/16/20072/28/2010 
InactiveNon ResidentAgentVariable Life and Variable Annuities10/16/20072/28/2010 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNationwide Life Insurance Company300495Agent - Health2/14/20094/14/2010
InactiveNationwide Life Insurance Company300495Agent - Life2/14/20094/14/2010
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities2/14/20094/14/2010
InactiveNationwide Life Insurance Company of America301134Agent - Health10/22/200712/31/2009
InactiveNationwide Life Insurance Company of America301134Agent - Life10/22/200712/31/2009
InactiveNationwide Life Insurance Company of America301134Agent - Variable Life and Variable Annuities10/22/200712/31/2009
InactiveNationwide Life and Annuity Company of America300172Agent - Health10/22/200712/31/2009
InactiveNationwide Life and Annuity Company of America300172Agent - Life12/31/200912/31/2009
InactiveNationwide Life and Annuity Company of America300172Agent - Variable Life and Variable Annuities10/22/200712/31/2009
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life2/14/20094/14/2010
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities2/14/20094/14/2010
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNationwide Financial General Agency, Inc.399024Agent - Life11/13/20071/21/2010
InactiveNationwide Financial General Agency, Inc.399024Agent - Health11/13/20071/21/2010
InactiveNationwide Financial General Agency, Inc.399024Agent - Variable Life and Variable Annuities11/13/20071/21/2010

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