DEPARTMENT OF INSURANCE

Affiliations

Name	Fellonneau, Kelly R	DOIID	715751	NAIC NPN	15093767

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/31/2010	12/1/2012
Inactive	Resident	Agent	Casualty	8/31/2010	12/1/2012
Inactive	Resident	Agent	Life	9/24/2018	12/1/2022
Inactive	Resident	Agent	Health	9/24/2018	12/1/2022
* 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	ACE American Insurance Company	300625	Agent - Casualty	7/25/2011	9/26/2011
Inactive	ACE American Insurance Company	300625	Agent - Property	7/25/2011	9/26/2011
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/12/2018	12/1/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/12/2018	12/1/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/12/2018	12/1/2022
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	7/25/2011	9/26/2011
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	7/25/2011	9/26/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	11/4/2011	12/22/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	11/4/2011	12/22/2011
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	11/4/2011	12/1/2012
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	11/4/2011	12/1/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/11/2011	12/1/2012
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/12/2018	6/15/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/11/2011	12/1/2012
Inactive	EMC National Life Company	300388	Agent - Health	11/22/2010	9/20/2012
Inactive	EMC National Life Company	300388	Agent - Life	11/22/2010	9/20/2012
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	11/19/2010	9/21/2012
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	11/19/2010	9/21/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	10/17/2018	12/10/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	10/17/2018	12/10/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	11/4/2011	12/22/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	11/4/2011	12/22/2011
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	11/19/2010	9/21/2012
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	11/19/2010	9/21/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/18/2018	12/1/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/18/2018	12/1/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/11/2011	12/1/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/11/2011	12/1/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/11/2011	12/1/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/11/2011	12/1/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/11/2011	12/1/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/11/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/11/2011	2/23/2012
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	7/25/2011	9/26/2011
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	7/25/2011	9/26/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/11/2011	12/1/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/11/2011	12/1/2012
Inactive	Nippon Life Insurance Company of America	300446	Agent - Health	10/1/2018	12/1/2022
Inactive	Nippon Life Insurance Company of America	300446	Agent - Life	10/1/2018	12/1/2022
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	7/25/2011	9/26/2011
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	7/25/2011	9/26/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/31/2011	12/1/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/31/2011	12/1/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/8/2011	1/18/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	4/8/2011	1/18/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	10/31/2011	1/4/2013
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/31/2011	1/4/2013
Inactive	R.H. Clarkson Financial Services Inc.	398870	Agent - Life	10/16/2018	11/6/2019
Inactive	R.H. Clarkson Financial Services Inc.	398870	Agent - Health	10/16/2018	11/6/2019
Inactive	Schwartz & Assoc Inc	400988	Agent - Life	4/11/2011	12/1/2012
Inactive	Schwartz & Assoc Inc	400988	Agent - Health	4/11/2011	12/1/2012
Inactive	Schwartz & Assoc Inc	400988	Agent - Casualty	4/11/2011	9/21/2012
Inactive	Schwartz & Assoc Inc	400988	Agent - Property	4/11/2011	9/21/2012