black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KELLY & ASSOCIATES INSURANCE GROUP INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN115182
Status:
First Licensure:
06/16/2005
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1 KELLY WAY
SPARKS, MD 21152-9484
Mailing:
1 KELLY WAY
SPARKS, MD 21152-9484
Phone:
+1 (410) 527-3400
Fax:
+1 (410) 527-3470
Email:
mdonatelli@kellybenefits.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/16/2005 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
10/18/2025 LHF374
FIDELITY SECURITY LIFE INSURANCE COMPANY
05/21/2013 LHF972
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
06/30/2021 LHF193
MADISON NATIONAL LIFE INSURANCE COMPANY
07/29/2010 LHF120427 10/20/2017
METROPOLITAN LIFE INSURANCE COMPANY
03/23/2009 LHF380
NATIONAL GUARDIAN LIFE INSURANCE COMPANY
03/26/2021 LHF84860
NATIONWIDE LIFE INSURANCE COMPANY
03/26/2021 LHF29
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
09/21/2006 LHF250
STARMOUNT LIFE INSURANCE COMPANY
04/28/2023 LHD131525
UNITED STATES FIRE INSURANCE COMPANY
09/12/2017 PCF101256 12/29/2021
UNITEDHEALTHCARE INSURANCE COMPANY
11/05/2018 LHF700 11/05/2024
UNITEDHEALTHCARE INSURANCE COMPANY
11/07/2024 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
11/01/2021 HMF393375
UNUM INSURANCE COMPANY
04/28/2023 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
03/28/2008 LHD145
WELLCARE OF MAINE, INC.
10/18/2025 HMD305081
WELLCARE PRESCRIPTION INSURANCE INC
10/18/2025 LHF121869

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DAVID E. KELLY
06/16/2005 PRN76833

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DAVID E. KELLY PRN76833

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2012946

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/22/2025 04:44:34 PM