DEPARTMENT OF INSURANCE
Affiliations
NameMistry, Kimberly DOIID1193908NAIC NPN20239907
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/14/2022 11/30/2026
ActiveNon ResidentAgentLife3/14/2022 11/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202611/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health of Ohio Inc.1065035Agent - Health2/18/2026 
ActiveAetna Life Insurance Company301140Agent - Health2/18/2026 
ActiveAmerican General Life Insurance Company301585Agent - Health6/16/2024 
ActiveAmerican General Life Insurance Company301585Agent - Life6/16/2024 
ActiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life1/31/2025 
ActiveArcadian Health Plan, Inc.728196Agent - Health1/12/2026 
InactiveBanner Life Insurance Company301696Agent - Life6/12/20236/26/2024
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health2/5/2026 
ActiveELCO Mutual Life and Annuity300503Agent - Life3/12/2026 
ActiveEmphesys Insurance Company300598Agent - Health1/9/2026 
InactiveGuarantee Trust Life Insurance Company301043Agent - Health10/4/20242/5/2026
InactiveGuarantee Trust Life Insurance Company301043Agent - Life10/4/20242/5/2026
InactiveLumico Life Insurance Company300354Agent - Life3/21/20224/16/2024
InactivePruco Life Insurance Company300954Agent - Life4/11/20223/20/2024
ActiveSecurico Life Insurance Company1351368Agent - Life7/10/2025 
ActiveSilverScript Insurance Company663526Agent - Health2/18/2026 
ActiveTier One Insurance Company301056Agent - Health9/2/2024 
ActiveTier One Insurance Company301056Agent - Life9/2/2024 
InactiveTransamerica Life Insurance Company300571Agent - Health10/17/20226/19/2024
InactiveTransamerica Life Insurance Company300571Agent - Life10/17/20226/19/2024
InactiveUnited Home Life Insurance Company300421Agent - Life8/3/20252/11/2026
ActiveUnited of Omaha Life Insurance Company300156Agent - Health4/11/2022 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life4/11/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAssurance IQ, LLC919554Agent - Life9/28/20225/15/2024
InactiveAssurance IQ, LLC919554Agent - Health9/28/20225/15/2024

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