DEPARTMENT OF INSURANCE

Affiliations

Name	Kelley, Oterias Lavalle	DOIID	817716	NAIC NPN	2490938

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/17/2013	9/30/2015
Inactive	Non Resident	Agent	Casualty	1/26/2016	9/30/2017
Inactive	Non Resident	Agent	Property	1/26/2016	9/30/2017
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	9/22/2014	9/30/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/22/2014	9/30/2015
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/17/2014	9/30/2015
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/17/2014	9/30/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	9/30/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/22/2014	9/30/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/22/2014	9/30/2015
Inactive	Humana Insurance Company	301104	Agent - Health	9/22/2014	9/30/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/22/2014	9/30/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	9/30/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/22/2014	10/22/2015
Inactive	LM General Insurance Company	300133	Agent - Casualty	1/17/2014	9/30/2015
Inactive	LM General Insurance Company	300133	Agent - Property	1/17/2014	9/30/2015
Inactive	LM Insurance Corporation	301061	Agent - Casualty	1/17/2014	9/30/2015
Inactive	LM Insurance Corporation	301061	Agent - Property	1/17/2014	9/30/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	1/17/2014	9/30/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Property	1/17/2014	9/30/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/17/2014	9/30/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/17/2014	9/30/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	1/17/2014	9/30/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	1/17/2014	9/30/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	2/1/2016	5/18/2016
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	2/1/2016	5/18/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alorica Customer Care, Inc.	800938	Agent - Health
Inactive	Alorica Customer Care, Inc.	800938	Agent - Casualty	4/11/2014	1/7/2015
Inactive	Alorica Customer Care, Inc.	800938	Agent - Property	4/11/2014	1/7/2015
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	2/9/2016	5/18/2016
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	2/9/2016	5/18/2016