DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Heather Lynn	DOIID	900397	NAIC NPN	1911287

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/26/2015	4/21/2020
Inactive	Non Resident	Agent	Health	11/26/2015	4/21/2020
* 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	7/3/2018	4/21/2020
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	2/15/2017	4/21/2020
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/15/2017	4/21/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	7/3/2018	4/21/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/3/2018	4/21/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	United Capital Risk Management LLC	739083	Agent - Life	2/15/2017	1/16/2020
Inactive	United Capital Risk Management LLC	739083	Agent - Health	2/15/2017	1/16/2020