black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KELSEY NATIONAL CORPORATION

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN37962
Status:
First Licensure:
09/30/1993
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
3030 S BUNDY DR
LOS ANGELES, CA 90066-1015
Mailing:
3030 S BUNDY DR
LOS ANGELES, CA 90066-1015
Phone:
+1 (310) 390-1000 x223
Fax:
+1 (310) 437-7277
Email:
licensing@kelsey.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/30/1993 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
10/11/2006 HMD45749 05/12/2021
AETNA LIFE INSURANCE COMPANY
10/11/2006 LHF621 05/12/2021
AMERICAN GENERAL ASSURANCE COMPANY
08/14/2009 LHF663 07/25/2011
AMERICAN GENERAL LIFE INSURANCE COMPANY
01/01/2013 LHF119
AMERICAN GENERAL LIFE INSURANCE COMPANY OF DELAWARE
03/23/2006 LHF77803 12/31/2012
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
04/06/2022 LHF374 03/01/2025
AMERITAS LIFE INSURANCE CORP
02/08/2006 LHF944
ANTHEM HEALTH PLANS OF MAINE INC.
11/01/2014 LHD70566
ANTHEM LIFE INSURANCE COMPANY
11/01/2014 LHF70467 04/11/2025
ATHENE ANNUITY & LIFE ASSURANCE COMPANY
04/28/2008 LHF690 06/07/2011
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
09/24/2013 LHF214634 12/01/2016
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/20/2021 LHF214634 01/25/2024
CHESAPEAKE LIFE INSURANCE COMPANY
09/22/2004 LHF699 04/03/2006
CIGNA HEALTH AND LIFE INSURANCE COMPANY
09/14/2014 LHF860
CIGNA HEALTHCARE OF MAINE INC.
02/03/2000 HMD4 04/22/2014
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
02/03/2000 LHF149 05/16/2014
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
03/17/2011 LHF842
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
08/29/2019 LHF644
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
03/15/2002 LHF193
HCC LIFE INSURANCE COMPANY
01/27/2016 LHF133704 06/20/2017
HEALTH NET LIFE INSURANCE COMPANY
07/26/2007 LHF114585 11/14/2012
HUMANA INSURANCE COMPANY
01/21/2014 LHF980
HUMANADENTAL INSURANCE COMPANY
01/15/2020 LHF173873
METROPOLITAN LIFE INSURANCE COMPANY
10/28/2019 LHF380
PENNSYLVANIA LIFE INSURANCE COMPANY
06/17/2009 LHF243 01/29/2014
SECURITY LIFE INSURANCE COMPANY OF AMERICA
12/05/2014 LHF157134 12/31/2016
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
02/13/2014 LHF58195 04/08/2019
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
12/18/2019 LHF58195
SILVERSCRIPT INSURANCE COMPANY
03/13/2015 LHF132429
STANDARD INSURANCE COMPANY
12/22/2024 LHF991
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK
02/07/2007 LHF267 01/20/2010
STONEBRIDGE LIFE INSURANCE COMPANY
06/03/2013 LHF466 10/01/2015
SYMETRA LIFE INSURANCE COMPANY
10/10/2005 LHF777 09/12/2014
TALCOTT RESOLUTION LIFE AND ANNUITY INSURANCE COMPANY
03/15/2002 LHF660 06/16/2014
TALCOTT RESOLUTION LIFE INSURANCE COMPANY
03/15/2002 LHF822
TIME INSURANCE COMPANY
06/07/2001 LHF276 01/17/2006
TRANSAMERICA LIFE INSURANCE COMPANY
08/20/2015 LHF726
UNITED AMERICAN INSURANCE COMPANY
10/27/2006 LHF871 05/07/2007
UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NY
08/01/1995 LHF654
UNITEDHEALTHCARE INSURANCE COMPANY
01/25/2010 LHF700 08/25/2011
UNITEDHEALTHCARE INSURANCE COMPANY
08/25/2011 LHF700 04/08/2019
UNITEDHEALTHCARE INSURANCE COMPANY
12/18/2019 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
09/16/2016 LHF983 04/08/2019
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
12/18/2019 LHF983 12/28/2021
UNITEDHEALTHCARE OF WISCONSIN, INC.
07/20/2022 HMF376407 01/25/2024
WELLCARE OF MAINE, INC.
04/06/2022 HMD305081 02/10/2025
WELLCARE PRESCRIPTION INSURANCE INC
10/23/2008 LHF121869 05/11/2010
WELLCARE PRESCRIPTION INSURANCE INC
04/06/2022 LHF121869 02/28/2025
WELLPOINT LIFE AND HEALTH INSURANCE COMPANY
11/14/2006 LHF49485

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MARK REILLY KELSEY
08/02/1999 PRN63804
AVERY AKWASI SMITH
10/31/2017 PRN296419
REUBEN TOWNS
01/09/2020 PRN346170

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MARK REILLY KELSEY PRN63804

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
720533

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: 05/21/2025 10:04:11 AM