DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Donnelly, Austin Blake	DOIID	850011	NAIC NPN	17353751

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/28/2014	3/31/2018
* 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	9/12/2014	3/31/2018
Inactive	Aetna Health Insurance Company	301583	Agent - Health	9/12/2014	3/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/12/2014	3/31/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/1/2014	4/20/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/3/2014	3/2/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/12/2014	3/31/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/26/2016	4/4/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/13/2014	4/8/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/13/2014	4/8/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/13/2014	5/10/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/13/2014	4/8/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	6/15/2016	8/9/2017
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	9/30/2014	3/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Healthcare Solutions, Inc.	814587	Agent - Health	9/29/2014	10/12/2016