DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Arnett, Kelly R	DOIID	696633	NAIC NPN	12721451

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	2/26/2009	4/1/2014
Denied	Resident	Life & Health Consultant	Not Applicable
* 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	Assurity Life Insurance Company	301099	Agent - Life	2/22/2010	4/24/2012
Inactive	Everly Life Insurance Company	561641	Agent - Life	6/3/2011	4/1/2014
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	9/17/2009	9/11/2013
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	3/2/2009	1/7/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	9/21/2009	4/1/2014