DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Sharyn Ann	DOIID	739387	NAIC NPN	7514058

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/27/2014	9/30/2018
Inactive	Non Resident	Agent	Life	10/23/2014	9/30/2018
* 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	9/17/2012	9/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/25/2015	9/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/25/2015	9/30/2018
Inactive	American Continental Insurance Company	643130	Agent - Health	9/24/2012	9/30/2012
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/25/2014	12/5/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/9/2015	6/8/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/9/2015	6/8/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/5/2017	9/30/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/5/2017	9/30/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/9/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/9/2015	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/9/2015	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	9/10/2015	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/9/2015	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/10/2015	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/9/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/9/2015	10/22/2015
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/14/2010	1/13/2011
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	10/7/2014	4/28/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	11/4/2014	4/28/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/7/2014	4/28/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/4/2014	4/28/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/14/2010	1/13/2011

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	9/25/2014	2/22/2015
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	9/9/2015	1/31/2018
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	9/9/2015	1/31/2018