DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Provine, Kaori Munro	DOIID	1178704	NAIC NPN	20077827

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/16/2021		12/31/2027
Active	Non Resident	Agent	Health	12/16/2021		12/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/2/2026
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/10/2026
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	12/22/2021	3/16/2026
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	12/22/2021	3/16/2026
Active	Golden Rule Insurance Company	301943	Agent - Health	3/20/2026
Active	Golden Rule Insurance Company	301943	Agent - Life	3/20/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	12/22/2021	3/16/2026
Inactive	Ushealth Advisors Llc	713288	Agent - Health	12/22/2021	3/16/2026