DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Parks, Ember Lyn	DOIID	1136867	NAIC NPN	19904990

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/28/2021		4/30/2025
Active	Non Resident	Agent	Life	5/28/2021		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/7/2024	3/25/2025
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/7/2024	3/25/2025
Active	American General Life Insurance Company	301585	Agent - Health	4/2/2025
Active	American General Life Insurance Company	301585	Agent - Life	4/2/2025
Inactive	CMFG Life Insurance Company	300929	Agent - Health	6/2/2021	9/17/2024
Active	CMFG Life Insurance Company	300929	Agent - Life	10/2/2024
Active	Tier One Insurance Company	301056	Agent - Health	9/25/2024
Active	Tier One Insurance Company	301056	Agent - Life	9/25/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sutherland Global Services Inc	601788	Agent - Life	10/7/2024
Active	Sutherland Global Services Inc	601788	Agent - Health	10/7/2024