DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Campos, Kimberly	DOIID	1058867	NAIC NPN	19281353

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	4/10/2024		9/30/2026
Inactive	Non Resident	Agent	Health	10/2/2019	12/7/2021
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/14/2019	8/14/2021
Active	Essentia Insurance Company	300342	Agent - Personal Lines	4/23/2024

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 - Health	11/14/2019	8/14/2021
Active	Hagerty Ins Agency LLC	541031	Agent - Personal Lines	4/23/2024