DEPARTMENT OF INSURANCE

Affiliations

Name	Bartlett, Kellen J	DOIID	954150	NAIC NPN	18330348

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/23/2022	11/30/2025
Active	Non Resident	Agent	Life	9/23/2022	11/30/2025
* 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
Agent	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	10/4/2024
Active	Accendo Insurance Company	300312	Agent - Life	11/6/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/27/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/6/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/29/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/27/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	5/1/2018	8/11/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/29/2022	10/15/2024
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/16/2017	12/21/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	6/16/2017	12/21/2018
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/23/2024	12/4/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/10/2020	3/26/2021
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/28/2020	12/15/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/6/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	11/6/2024
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	9/2/2019	9/22/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/11/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/11/2017	6/8/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/6/2018	12/22/2020
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	10/6/2018	12/22/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/21/2020	12/2/2020
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	11/16/2017	1/22/2019
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	6/22/2017	11/30/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/16/2019	8/1/2020
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	7/15/2017	11/30/2021
Inactive	SILAC Insurance Company	300535	Agent - Health	5/23/2017	3/30/2018
Inactive	SILAC Insurance Company	300535	Agent - Life	5/23/2017	3/30/2018
Active	SilverScript Insurance Company	663526	Agent - Health	9/29/2024
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	8/9/2018	11/30/2021
Active	Tier One Insurance Company	301056	Agent - Health	10/12/2024
Active	Tier One Insurance Company	301056	Agent - Life	10/12/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	1/23/2020	3/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/23/2024	12/4/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/16/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/23/2024	12/4/2024
Inactive	Western United Life Insurance Company	659052	Agent - Health	4/2/2019	11/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Spring Ins Solutions LLC	788951	Agent - Life	11/19/2019	5/7/2020
Inactive	Spring Ins Solutions LLC	788951	Agent - Health	11/19/2019	5/7/2020