DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Adam	DOIID	725096	NAIC NPN	15092093

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/15/2010	11/30/2011
Inactive	Non Resident	Agent	Life	3/23/2010	11/30/2011
* 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	Continental American Insurance Company	301700	Agent - Health	3/17/2011	11/30/2011
Inactive	Continental American Insurance Company	301700	Agent - Life	3/17/2011	11/30/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Seabury & Smith Inc	394854	Agent - Life	6/23/2011	9/30/2011
Inactive	Seabury & Smith Inc	394854	Agent - Health	6/23/2011	9/30/2011