DEPARTMENT OF INSURANCE

Affiliations

Name	Dix, Kelly Dix	DOIID	349816	NAIC NPN	547251

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	1/3/2002		5/31/2026
Active	Resident	Agent	Health	9/6/1994		5/31/2026
Inactive	Resident	Agent	Health Maintenance Organization	3/1/1991	3/1/2001
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	6/23/2005	7/1/2009
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/23/2005	7/1/2009
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	8/4/2005	3/23/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	3/20/2009	5/17/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	3/20/2009	5/17/2010
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/12/2017	4/10/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/28/2005	12/9/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/28/2005	12/9/2014
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	2/25/2010	6/13/2011
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	10/29/2004	5/8/2013
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	3/23/2005	8/2/2005
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	3/23/2005	8/2/2005
Inactive	Columbian Life Insurance Company	300810	Agent - Life	7/19/2022	4/24/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/15/2009	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/15/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	12/15/2009	7/2/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/21/2005	12/8/2015
Inactive	Encova Life Insurance Company	301818	Agent - Life	2/11/2005	3/18/2013
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	11/6/2009	3/31/2011
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	4/26/2004	3/14/2012
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/29/2021	3/13/2023
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	5/16/2007	7/26/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/29/2005	9/19/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/29/2005	9/19/2009
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	4/10/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	3/1/1991	3/1/2001
Inactive	Humana Insurance Company	300118	Agent - Health	9/6/1994	1/3/2002
Inactive	Humana Insurance Company	301104	Agent - Health	1/3/2002	4/10/2018
Inactive	Humana Insurance Company	300118	Agent - Life	9/6/1994	1/3/2002
Inactive	Humana Insurance Company	301104	Agent - Life	1/3/2002	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/27/2004	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/27/2004	4/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/10/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/20/2005	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/20/2005	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	1/4/2007	11/9/2009
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	1/4/2007	11/9/2009
Inactive	Independent Order of Foresters	300743	Agent - Life	7/13/2018	12/24/2019
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	5/21/2004	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	5/21/2004	6/7/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/26/2010	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/26/2010	10/22/2015
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	9/12/2005	9/15/2006
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	9/12/2005	9/15/2006
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/16/2009	12/17/2012
Inactive	Pan-American Assurance Company	301533	Agent - Health	9/23/2004	8/22/2006
Inactive	Pan-American Assurance Company	301533	Agent - Life	9/23/2004	8/22/2006
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	9/23/2004	8/22/2006
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	9/23/2004	8/22/2006
Inactive	Principal Life Insurance Company	300129	Agent - Health	7/29/2004	12/12/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	7/29/2004	12/12/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	7/9/2009	8/27/2014
Inactive	Reserve National Insurance Company	301073	Agent - Health	7/23/2013	7/5/2016
Inactive	Reserve National Insurance Company	301073	Agent - Life	7/23/2013	7/5/2016
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	8/30/2004	1/20/2008
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	8/30/2004	1/20/2008
Inactive	Time Insurance Company	300683	Agent - Health	8/12/2004	10/6/2005
Inactive	Time Insurance Company	300683	Agent - Life	8/12/2004	10/6/2005
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/19/2018	11/11/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/19/2018	11/11/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/7/2018	11/11/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/7/2018	11/11/2019
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	7/13/2004	9/26/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/5/2024	6/23/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/5/2024	6/23/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	1/2/2007	1/10/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	6/1/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	4/10/2018
Inactive	Medlink Inc	400721	Agent - Life	10/24/2010	6/1/2020
Inactive	Medlink Inc	400721	Agent - Health	10/24/2010	4/10/2018