DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Connolly, Keith D	DOIID	975523	NAIC NPN	16951612

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/22/2021	2/28/2023
Inactive	Non Resident	Agent	Life	9/22/2021	2/28/2023
* 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 Inc. (PA)	660717	Agent - Health	10/5/2021	2/28/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/5/2021	2/28/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/5/2021	2/28/2023
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	12/6/2017	2/12/2019
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/9/2022	2/28/2023
Inactive	CareSource Kentucky Co.	838179	Agent - Health	11/3/2021	3/22/2023
Inactive	Federal Insurance Company	301144	Agent - Health	12/21/2017	2/28/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/22/2021	2/28/2023
Inactive	LifeShield National Insurance Company	737111	Agent - Health	10/12/2018	2/6/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/5/2021	2/28/2023
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	11/23/2021	2/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Health Plan Intermediaries Holdings	786463	Agent - Life
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	9/28/2018	2/28/2019