DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coors, Kelly	DOIID	697077	NAIC NPN	12773563

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	2/24/2009		8/31/2025
Active	Resident	Agent	Casualty	10/5/2017		8/31/2025
Active	Resident	Agent	Property	10/5/2017		8/31/2025
Active	Resident	Agent	Life	2/24/2009		8/31/2025
* 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
Active	Anthem Life Insurance Company	301209	Agent - Health	7/15/2009
Active	Anthem Life Insurance Company	301209	Agent - Life	7/15/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	C A I Insurance Agency Inc	401163	Agent - Health	7/16/2009
Active	C A I Insurance Agency Inc	401163	Agent - Life	7/16/2009
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013