DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelem, Essossinam	DOIID	1303645	NAIC NPN	18754389

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement CE Compliance	Resident	Agent	Health	9/5/2024
Pending Replacement CE Compliance	Resident	Agent	Life	10/12/2023
* 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	02/15/2025	04/30/2025	04/01/2025	04/01/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/13/2025
Pending Replacement	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/13/2025
Pending Replacement	Gerber Life Insurance Company	300529	Agent - Health	3/27/2025
Pending Replacement	Gerber Life Insurance Company	300529	Agent - Life	3/27/2025
Pending Replacement	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/19/2024
Pending Replacement	Pruco Life Insurance Company	300954	Agent - Life	3/28/2025
Pending Replacement	Transamerica Life Insurance Company	300571	Agent - Life	10/19/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	World Financial Group Insurance Agency, LLC	400520	Agent - Life	10/19/2023