DEPARTMENT OF INSURANCE

Affiliations

Name	Kelley, Paul Heath	DOIID	763984	NAIC NPN	6411045

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/25/2021	1/31/2025
Active	Non Resident	Agent	Variable Life and Variable Annuities	6/25/2021	1/31/2025
Active	Non Resident	Agent	Life	6/25/2021	1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	9/15/2015	1/31/2017
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	9/15/2015	1/31/2017
Inactive	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	9/15/2015	1/31/2017
Inactive	Fidelity Investments Life Insurance Company	300620	Agent - Health	9/22/2011	11/30/2015
Inactive	Fidelity Investments Life Insurance Company	300620	Agent - Life	9/22/2011	11/30/2015
Inactive	Fidelity Investments Life Insurance Company	300620	Agent - Variable Life and Variable Annuities	9/22/2011	11/30/2015
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/15/2015	1/31/2017
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/15/2015	1/31/2017
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	9/15/2015	1/31/2017
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	9/29/2011	6/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fidelity Insurance Agency Inc.	400221	Agent - Health	9/27/2011	3/1/2016
Inactive	Fidelity Insurance Agency Inc.	400221	Agent - Life	9/27/2011	3/1/2016
Inactive	Fidelity Insurance Agency Inc.	400221	Agent - Variable Life and Variable Annuities	9/27/2011	3/1/2016