DEPARTMENT OF INSURANCE

Affiliations

Name	Kinthiseng, James	DOIID	1040609	NAIC NPN	19169302

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/16/2019	8/31/2026
Active	Non Resident	Agent	Life	5/16/2019	8/31/2026
Active	Non Resident	Agent	Property	5/9/2023	8/31/2026
Active	Non Resident	Agent	Casualty	5/9/2023	8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024	07/18/2024	07/18/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	8/9/2021	4/5/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/9/2021	4/5/2024
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	5/10/2023
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	5/10/2023
Active	American General Life Insurance Company	301585	Agent - Health	12/28/2021
Active	American General Life Insurance Company	301585	Agent - Life	12/28/2021
Active	American Modern Home Insurance Company	300791	Agent - Casualty	8/9/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	8/9/2023
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	6/3/2019	1/4/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	6/3/2019	1/4/2021
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	6/4/2021	4/15/2022
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	6/4/2021	4/15/2022
Active	Banner Life Insurance Company	301696	Agent - Life	10/8/2020
Active	Bristol West Insurance Company	301655	Agent - Casualty	9/7/2023
Active	Bristol West Insurance Company	301655	Agent - Property	9/7/2023
Inactive	C.M. Life Insurance Company	301335	Agent - Life	11/19/2020	3/21/2024
Inactive	CMFG Life Insurance Company	300929	Agent - Life	4/13/2021	12/8/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/9/2021	4/5/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/9/2021	4/5/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/7/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/7/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/20/2020	11/2/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/20/2020	11/2/2023
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	1/25/2022	5/1/2023
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	1/25/2022	5/1/2023
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	11/4/2019	12/21/2022
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	11/4/2019	12/21/2022
Active	Homesite Insurance Company	301139	Agent - Casualty	5/10/2023
Active	Homesite Insurance Company	301139	Agent - Property	5/10/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	5/10/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	5/10/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/2/2022	12/23/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/2/2022	12/8/2023
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	12/9/2022	6/1/2023
Active	Midvale Indemnity Company	300292	Agent - Casualty	5/10/2023
Active	Midvale Indemnity Company	300292	Agent - Property	5/10/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/19/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Property	9/19/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/8/2020	12/21/2022
Active	United Financial Casualty Company	301886	Agent - Casualty	9/19/2023
Active	United Financial Casualty Company	301886	Agent - Property	9/19/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/14/2020	4/27/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/14/2020	4/27/2023
Inactive	Vantis Life Insurance Company	572176	Agent - Life	10/1/2021	11/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	8/15/2023
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	8/15/2023
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	6/3/2019	3/2/2023
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	6/3/2019	3/2/2023