DEPARTMENT OF INSURANCE

Affiliations

Name	Kellicker, Jennifer Lynn	DOIID	827427	NAIC NPN	17060477

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/18/2013	6/30/2018
Inactive	Non Resident	Agent	Life	11/18/2013	6/30/2018
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/15/2014	6/30/2018
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/28/2017	6/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/15/2014	6/30/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/15/2014	6/30/2018
Inactive	American Continental Insurance Company	643130	Agent - Life	7/28/2017	6/30/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	12/2/2015	6/30/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	12/2/2015	6/30/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/13/2016	7/19/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/13/2016	7/19/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/19/2013	6/15/2018
Inactive	Companion Life Insurance Company	300191	Agent - Health	8/3/2016	10/25/2016
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/28/2017	6/30/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	7/15/2014	6/30/2018
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	7/15/2014	6/30/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/19/2013	6/15/2018
Inactive	Federal Insurance Company	301144	Agent - Health	5/18/2017	6/30/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/22/2013	1/19/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/22/2013	1/19/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/26/2013	10/18/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/26/2013	10/18/2016
Inactive	HCC Life Insurance Company	301827	Agent - Health	1/22/2015	10/19/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/26/2016	6/15/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/26/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/19/2013	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	12/27/2013	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	1/23/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/19/2013	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/19/2013	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/26/2016	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/15/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/23/2017	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/23/2017	12/8/2017
Inactive	National Health Insurance Company	300554	Agent - Health	7/15/2015	6/30/2018
Inactive	National Health Insurance Company	300554	Agent - Life	7/15/2015	6/30/2018
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/12/2016	8/28/2017
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	11/19/2013	8/5/2014
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	11/19/2013	8/5/2014
Inactive	Time Insurance Company	300683	Agent - Health	12/31/2014	6/30/2018
Inactive	Time Insurance Company	300683	Agent - Life	12/31/2014	6/30/2018
Inactive	Unified Life Insurance Company	543169	Agent - Health	4/10/2017	12/12/2017
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	10/18/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	10/18/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Choice One Inc	710891	Agent - Life	8/5/2014	4/9/2018
Inactive	Health Choice One Inc	710891	Agent - Health	8/5/2014	4/9/2018