DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Carolyn Marie	DOIID	890210	NAIC NPN	7993891

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/11/2021	3/31/2023
Inactive	Non Resident	Agent	Health	10/11/2021	3/31/2023
* 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 and Life Insurance Company	300523	Agent - Health	5/19/2017	3/31/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/19/2017	3/31/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/3/2022	1/24/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/21/2021	11/7/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/21/2021	11/7/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/23/2018	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	6/11/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/15/2017	6/8/2018
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/7/2015	8/22/2016
Inactive	Omaha Insurance Company	751908	Agent - Health	10/26/2015	8/8/2018
Inactive	United World Life Insurance Company	300532	Agent - Health	11/15/2019	4/18/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/14/2017	4/18/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/29/2021	11/21/2022
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/29/2021	11/7/2022
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	3/28/2016	3/31/2021