DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chatman, Kimberly Y	DOIID	1070202	NAIC NPN	8571871

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/9/2020		11/30/2025
Active	Non Resident	Agent	Health	1/9/2020		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	11/6/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	11/6/2020	8/11/2021
Active	CareSource Kentucky Co.	838179	Agent - Health	11/18/2022
Active	Combined Insurance Company of America	301472	Agent - Health	10/13/2020
Active	Combined Insurance Company of America	301472	Agent - Life	10/13/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/13/2021	2/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Optavise, LLC	671337	Agent - Life	10/26/2020
Active	Optavise, LLC	671337	Agent - Health	10/26/2020