DEPARTMENT OF INSURANCE
Affiliations
NameKelly, Russell DOIID670722NAIC NPN9366930
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedNon ResidentAgentVariable Life and Variable Annuities   
InactiveNon ResidentAgentHealth12/20/20071/31/2010 
InactiveNon ResidentAgentLife12/20/20071/31/2010 
InactiveNon ResidentIndependent AdjusterProperty & Casualty3/6/20121/31/2014 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Health2/19/20081/31/2010
InactiveAllianz Life Insurance Company of North America301791Agent - Life2/19/20081/31/2010
InactiveTime Insurance Company300683Agent - Health2/24/20091/31/2010
InactiveTime Insurance Company300683Agent - Life2/24/20091/31/2010
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCrawford & Company401229Independent Adjuster - Property & Casualty11/24/20131/31/2014
InactiveDental Choice Agency Inc.398085Agent - Health12/1/20081/31/2010

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