DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Chris Joseph	DOIID	802244	NAIC NPN	16695380

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/7/2023		6/30/2026
Active	Non Resident	Agent	Health	2/7/2023		6/30/2026
* 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
Inactive	American General Life Insurance Company	301585	Agent - Health	3/17/2016	6/30/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	3/17/2016	6/30/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/16/2013	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/16/2013	12/8/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/5/2013	7/1/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/5/2013	7/1/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/16/2013	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/16/2013	6/30/2016
Inactive	Humana Insurance Company	301104	Agent - Health	2/16/2013	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	2/16/2013	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/16/2013	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/16/2013	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/16/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/16/2013	10/22/2015
Inactive	Time Insurance Company	300683	Agent - Health	2/13/2013	4/19/2014
Inactive	Time Insurance Company	300683	Agent - Life	2/13/2013	4/19/2014
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	7/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Surecare Ins Solutions LLC	802894	Agent - Health	2/3/2013	6/30/2016