DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Velan, Kevin M	DOIID	936755	NAIC NPN	7875656

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/14/2016		1/31/2025
Active	Non Resident	Agent	Casualty	11/14/2016		1/31/2025
Active	Non Resident	Agent	Property	11/14/2016		1/31/2025
Active	Non Resident	Agent	Life	11/14/2016		1/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	11/14/2016		1/31/2025
* 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	11/15/2024	01/31/2025
Surplus Lines Broker	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/1/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	4/1/2020
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/1/2020
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/1/2020
Active	Zurich American Insurance Company	301121	Agent - Casualty	1/9/2017
Active	Zurich American Insurance Company	301121	Agent - Property	1/9/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Property	2/6/2017	8/22/2018
Inactive	Willis Of Illinois Inc	398318	Agent - Casualty	2/6/2017	8/22/2018
Inactive	Willis Of Illinois Inc	398318	Surplus Lines Broker - Not Applicable	2/6/2017	7/7/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Property	2/1/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Health	4/1/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Life	4/1/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Casualty	2/1/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Surplus Lines Broker - Not Applicable	2/1/2020
Inactive	Willis Towers Watson Northeast Inc	537673	Agent - Property	8/22/2018	5/11/2020
Inactive	Willis Towers Watson Northeast Inc	537673	Agent - Casualty	8/22/2018	5/11/2020
Inactive	Willis Towers Watson Northeast Inc	537673	Surplus Lines Broker - Not Applicable	8/22/2018	5/11/2020