DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Cheryl	DOIID	760548	NAIC NPN	7002601

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/9/2011	1/31/2026
Active	Non Resident	Agent	Life	8/9/2011	1/31/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/15/2011
Active	Aetna Life Insurance Company	301140	Agent - Health	9/15/2011
Active	Aetna Life Insurance Company	301140	Agent - Life	9/15/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/8/2014	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/3/2017	7/12/2018
Active	Golden Rule Insurance Company	301943	Agent - Health	9/20/2011
Active	Golden Rule Insurance Company	301943	Agent - Life	9/20/2011
Active	Guardian Life Insurance Company of America	301316	Agent - Health	2/20/2015
Active	Guardian Life Insurance Company of America	301316	Agent - Life	2/20/2015
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/24/2013
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/24/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/17/2014	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/25/2012	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Health	5/24/2012	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Life	5/24/2012	7/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/25/2012	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/25/2012	12/13/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/26/2013	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/26/2013	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/8/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/8/2014	10/22/2015
Inactive	Time Insurance Company	300683	Agent - Health	9/1/2011	6/12/2014
Inactive	Time Insurance Company	300683	Agent - Life	9/1/2011	6/12/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/6/2022	4/1/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/6/2022	4/1/2024
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/6/2022	4/1/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/6/2022	4/1/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013
Active	Usi Insurance Services LLC	669260	Agent - Health	6/5/2014
Active	Usi Insurance Services LLC	669260	Agent - Life	6/5/2014
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Health	12/9/2011	5/15/2014
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Life	12/9/2011	5/15/2014