DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Molly Margaret	DOIID	992864	NAIC NPN	17971619

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/30/2018		8/31/2025
Active	Non Resident	Agent	Health	4/30/2018		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
Active	Guardian Life Insurance Company of America	301316	Agent - Health	6/20/2018
Active	Guardian Life Insurance Company of America	301316	Agent - Life	6/20/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	6/20/2018	7/9/2019
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	6/20/2018	7/9/2019