DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kossa, Kimberly	DOIID	1024560	NAIC NPN	17419922

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/7/2019	6/30/2020
Inactive	Non Resident	Agent	Life	1/7/2019	6/30/2020
* 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
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/20/2019	6/30/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	3/20/2019	6/30/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/25/2019	9/3/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/25/2019	9/3/2019
Inactive	Assured Life Association	300353	Agent - Health	2/12/2019	8/1/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/20/2019	6/30/2020
Inactive	Heartland National Life Insurance Company	948749	Agent - Health	2/1/2019	12/5/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/2/2019	1/25/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	1/25/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/2/2019	1/25/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/2/2019	1/25/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/28/2019	9/3/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/28/2019	9/3/2019