DEPARTMENT OF INSURANCE

Affiliations

Name	Kelley, Christopher K	DOIID	687776	NAIC NPN	7354907

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/25/2008	4/30/2016
Inactive	Non Resident	Agent	Health	8/25/2008	4/30/2016
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/13/2010	4/30/2016
Inactive	Aetna Health Insurance Company	301583	Agent - Health	8/18/2014	4/30/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/13/2010	4/30/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/13/2010	4/30/2016
Inactive	American Continental Insurance Company	643130	Agent - Health	11/5/2012	2/17/2014
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	8/29/2015	4/30/2016
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	8/29/2015	4/30/2016
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/30/2014	4/30/2016
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	6/30/2014	4/30/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/2/2014	3/23/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/13/2008	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/13/2008	7/2/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	8/6/2009	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	8/6/2009	6/11/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/12/2014	4/30/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/2/2014	3/23/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/26/2011	4/30/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/30/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	4/30/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/13/2008	4/30/2016
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/2008	4/30/2016
Inactive	Humana Insurance Company	301104	Agent - Life	10/13/2008	4/30/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/13/2008	4/30/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/13/2008	4/30/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/30/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/1/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/1/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/2/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/2/2014	10/22/2015
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/2/2015	4/30/2016
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	9/12/2012	4/30/2016
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/8/2011	12/26/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/29/2008	6/29/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	10/29/2008	7/17/2012
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	10/7/2011	1/25/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/11/2011	4/30/2016
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/6/2008	8/12/2010
Inactive	United World Life Insurance Company	300532	Agent - Health	10/31/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/31/2008	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/31/2008	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/24/2013	4/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/29/2008	4/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/24/2013	4/30/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015	4/30/2016
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/14/2013	12/22/2014

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	12/16/2013	4/30/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/16/2013	4/30/2016
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	10/15/2008	4/30/2016
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	10/15/2008	4/30/2016