DEPARTMENT OF INSURANCE

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.

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