DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brock, Kimberly	DOIID	1182467	NAIC NPN	18994305

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/12/2022	5/31/2023
* 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	Accendo Insurance Company	300312	Agent - Health	2/2/2022	5/31/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/2/2022	5/31/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/2/2022	5/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	GoldenCare USA, LLC	398142	Agent - Health	2/7/2022	6/30/2022
Inactive	National Independent Brokers, LLC	502029	Agent - Health	2/7/2022	6/30/2022