DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Michael O	DOIID	865471	NAIC NPN	370604

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/11/2015	1/31/2026
Active	Non Resident	Agent	Health	1/11/2015	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	3/7/2016
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	3/22/2016
Active	Aetna Life Insurance Company	301140	Agent - Life	3/22/2016
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	4/22/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	9/25/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/22/2019	4/22/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/22/2019	4/22/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	2/18/2017
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	7/18/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	9/25/2024
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	3/7/2016
Active	First Health Life & Health Insurance Company	301735	Agent - Health	3/7/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/6/2015	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/6/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/6/2015	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	2/6/2015	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	2/6/2015	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/6/2015	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/6/2015	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/6/2015	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/6/2015	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/6/2015	11/3/2015
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	11/15/2021
Inactive	Omaha Insurance Company	751908	Agent - Health	2/7/2017	12/22/2017
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Active	United World Life Insurance Company	300532	Agent - Health	4/5/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/11/2015	7/18/2024
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/11/2015	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	7/18/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/1/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/1/2019	12/29/2021

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	6/23/2019	4/23/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/23/2019	4/23/2024