DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gumbiner, Kenneth F	DOIID	1110869	NAIC NPN	816651

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/17/2020		11/30/2024
Active	Non Resident	Agent	Life	11/17/2020		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Granular Insurance Company	301251	Agent - Health	1/11/2021	1/20/2022
Inactive	Granular Insurance Company	301251	Agent - Life	1/11/2021	1/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	VSR Insurance Solutions LLC	740429	Agent - Life	2/17/2021	2/14/2022
Inactive	VSR Insurance Solutions LLC	740429	Agent - Health	2/17/2021	2/14/2022