DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Velasquez, Kelley Eugene	DOIID	799660	NAIC NPN	16828425

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/26/2024		5/31/2026
Inactive	Non Resident	Agent	Health	12/15/2012	5/31/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	5/13/2024
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/12/2025
Active	Forethought Life Insurance Company	301407	Agent - Life	8/29/2024
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	10/20/2016	2/15/2017
Active	Nassau Life and Annuity Company	513671	Agent - Life	6/4/2024
Active	SILAC Insurance Company	300535	Agent - Life	3/17/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Allied Elite Financial, LLC	859326	Agent - Life