DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Kimberly	DOIID	932129	NAIC NPN	8287455

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/6/2016	8/31/2025
Active	Non Resident	Agent	Health	10/6/2016	8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	5/12/2023	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	5/12/2023	2/8/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/24/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/12/2023	2/8/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/23/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	1/23/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/30/2018	3/25/2024
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	1/7/2025
Inactive	American Continental Insurance Company	643130	Agent - Life	8/31/2018	6/3/2020
Active	American General Life Insurance Company	301585	Agent - Health	4/15/2025
Active	American General Life Insurance Company	301585	Agent - Life	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/28/2019	12/28/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/28/2019	12/28/2019
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/7/2023	2/28/2024
Inactive	Combined Insurance Company of America	301472	Agent - Health	12/4/2017	1/9/2018
Inactive	Combined Insurance Company of America	301472	Agent - Life	12/4/2017	1/9/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/12/2023	2/8/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/12/2023	2/8/2024
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	4/14/2025
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/30/2018	3/25/2024
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/11/2016	12/4/2017
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/11/2016	12/4/2017
Inactive	Lumico Life Insurance Company	300354	Agent - Health	12/19/2018	2/6/2025
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/1/2019	8/1/2020
Active	SilverScript Insurance Company	663526	Agent - Health	1/23/2025
Active	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	4/14/2025
Inactive	United Home Life Insurance Company	300421	Agent - Life	12/25/2023	5/16/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	11/20/2018	8/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/7/2023	2/28/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/7/2023	2/28/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/27/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/27/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/30/2019	5/16/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/30/2019	2/10/2025