black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK REILLY KELSEY

PRODUCER NON-RESIDENT

License Number:
PRN63804
Status:
First Licensure:
08/02/1999
Cancel Date:
None

Mailing:
LOS ANGELES, CA 90066
Phone:
+1 (310) 390-1000
Email:
licensing@kelsey.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/02/1999

Agency

Name Issue Date License Number Expiration Date Cancel Date
KELSEY NATIONAL CORPORATION
08/02/1999 AGN37962

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
10/30/2015 LHF119
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
ARCADIAN HEALTH PLAN INC
01/05/2015 HMF112421
ATHENE ANNUITY & LIFE ASSURANCE COMPANY
04/28/2008 LHF690 07/28/2010
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
10/02/2013 LHF214634 12/01/2016
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/20/2021 LHF214634
CIGNA HEALTH AND LIFE INSURANCE COMPANY
11/19/2014 LHF860
CIGNA HEALTHCARE OF MAINE INC.
02/03/2000 HMD4 12/16/2003
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
02/03/2000 LHF149 12/16/2003
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
12/23/2008 LHF149 05/16/2014
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
12/16/2010 LHF842 05/12/2021
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
07/09/2021 LHF644
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
03/15/2002 LHF193
HUMANA BENEFIT PLAN OF ILLINOIS INC
01/05/2015 LHF202755 01/18/2018
HUMANA INSURANCE COMPANY
10/26/2006 LHF980
HUMANADENTAL INSURANCE COMPANY
05/26/2011 LHF173873
METROPOLITAN LIFE INSURANCE COMPANY
10/28/2019 LHF380
NATIONAL HEALTH INSURANCE COMPANY
09/10/2017 LHF917
PENNSYLVANIA LIFE INSURANCE COMPANY
06/17/2009 LHF243 04/01/2010
RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA
04/11/2014 LHF136
REVOL ONE INSURANCE COMPANY
10/06/2011 LHF63184 05/31/2012
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
04/03/2014 LHF58195 04/08/2019
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
12/18/2019 LHF58195
SILVERSCRIPT INSURANCE COMPANY
02/12/2009 LHF132429
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK
02/08/2007 LHF267 03/05/2010
SYMETRA LIFE INSURANCE COMPANY
09/19/2005 LHF777 09/11/2014
TALCOTT RESOLUTION LIFE INSURANCE COMPANY
03/15/2002 LHF822 07/13/2009
TIME INSURANCE COMPANY
06/07/2001 LHF276 07/17/2012
TIME INSURANCE COMPANY
08/10/2012 LHF276 02/27/2020
UNITED AMERICAN INSURANCE COMPANY
10/27/2006 LHF871 05/07/2007
UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NY
08/14/2009 LHF654 08/27/2013
UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NY
10/30/2015 LHF654
UNITEDHEALTHCARE INSURANCE COMPANY
01/25/2010 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
WELLPOINT LIFE AND HEALTH INSURANCE COMPANY
11/17/2006 LHF49485

Authority

Description Issue Date Termination Date Status
HEALTH 08/02/1999 Active
LIFE 08/02/1999 Active

Responsible For

Name License Number
KELSEY NATIONAL CORPORATION AGN37962

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
230628

Other Addresses

Address Type
3030 S BUNDY DR
LOS ANGELES, CA 90066-1015
Office

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 06:27:44 AM