DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Cheryl	DOIID	760548	NAIC NPN	7002601

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/9/2011	1/31/2026
Active	Non Resident	Agent	Life	8/9/2011	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/15/2011
Active	Aetna Life Insurance Company	301140	Agent - Health	9/15/2011
Active	Aetna Life Insurance Company	301140	Agent - Life	9/15/2011
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/8/2014	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/3/2017	7/12/2018
Active	Golden Rule Insurance Company	301943	Agent - Health	9/20/2011
Active	Golden Rule Insurance Company	301943	Agent - Life	9/20/2011
Active	Guardian Life Insurance Company of America	301316	Agent - Health	2/20/2015
Active	Guardian Life Insurance Company of America	301316	Agent - Life	2/20/2015
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/24/2013
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/24/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/17/2014	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/25/2012	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Health	5/24/2012	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Life	5/24/2012	7/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/25/2012	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/25/2012	12/13/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/26/2013	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/26/2013	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/8/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/8/2014	10/22/2015
Inactive	Time Insurance Company	300683	Agent - Health	9/1/2011	6/12/2014
Inactive	Time Insurance Company	300683	Agent - Life	9/1/2011	6/12/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/6/2022	4/1/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/6/2022	4/1/2024
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/6/2022	4/1/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/6/2022	4/1/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	2/13/2025
Inactive	Usi Insurance Services LLC	669260	Agent - Health	6/5/2014	4/3/2025
Inactive	Usi Insurance Services LLC	669260	Agent - Life	6/5/2014	4/3/2025
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Health	12/9/2011	5/15/2014
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Life	12/9/2011	5/15/2014