DEPARTMENT OF INSURANCE

Affiliations

Name	Kelley, Dillard	DOIID	674169	NAIC NPN	6487376

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/2/2017	4/30/2021
Inactive	Non Resident	Agent	Life	8/2/2017	4/30/2021
Inactive	Non Resident	Agent	Personal Lines	11/22/2017	4/30/2021
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	4/30/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/9/2017	10/12/2017
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/13/2020	4/30/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/9/2017	10/12/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/9/2017	10/19/2017
Inactive	American Continental Insurance Company	643130	Agent - Life	3/13/2020	4/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/25/2017	10/17/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/25/2017	10/17/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/18/2020	4/30/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/13/2020	4/30/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/9/2017	10/12/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/6/2017	11/16/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/6/2017	11/16/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/6/2017	11/16/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/6/2017	11/16/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/6/2017	11/16/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/6/2017	11/16/2017
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/7/2020	12/2/2020
Inactive	Trumbull Insurance Company	300242	Agent - Personal Lines	12/5/2017	4/27/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Personal Lines	12/5/2017	4/27/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/4/2017	12/12/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/4/2017	12/12/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/4/2017	12/12/2017

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 - Health	8/29/2017	10/16/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/29/2017	10/16/2017