DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Simmons, Kenroy Nesrin	DOIID	1051129	NAIC NPN	18385323

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/10/2019		7/31/2025
Active	Non Resident	Agent	Health	8/10/2019		7/31/2025
* 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 Inc. (PA)	660717	Agent - Health	9/10/2019	7/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019	7/30/2020
Active	Freedom Life Insurance Company of America	300074	Agent - Health	8/15/2019
Active	Freedom Life Insurance Company of America	300074	Agent - Life	8/15/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/14/2019	7/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ushealth Advisors Llc	713288	Agent - Life	8/15/2019
Active	Ushealth Advisors Llc	713288	Agent - Health	8/15/2019