DEPARTMENT OF INSURANCE

Name	Kelly, David Eugene	DOIID	603974	NAIC NPN	2061126

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	12/31/2008	9/30/2025
Active	Non Resident	Agent	Property	4/9/2007	9/30/2025
Active	Non Resident	Agent	Casualty	4/9/2007	9/30/2025
Active	Non Resident	Agent	Life	3/28/2005	9/30/2025
Active	Non Resident	Agent	Health	3/28/2005	9/30/2025

*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
Administrator	07/15/2025	09/30/2025
Agent	07/15/2025	09/30/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	1 Kelly Way Sparks, MD 211529484
Residence	Not Public Information

Internet Information

Type	Address
Business Email	mdonatelli@kellybenefits.com
Internet	www.kaig.com

Phone Information

Type	Phone
Business / Home Office	(410) 527-3400