DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mistry, Kimberly	DOIID	1193908	NAIC NPN	20239907

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/14/2022		11/30/2024
Active	Non Resident	Agent	Health	3/14/2022		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
Active	American General Life Insurance Company	301585	Agent - Health	6/16/2024
Active	American General Life Insurance Company	301585	Agent - Life	6/16/2024
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/12/2023	6/26/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Life	3/21/2022	4/16/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/11/2022	3/20/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/17/2022	6/19/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/17/2022	6/19/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Health	4/11/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Life	4/11/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	9/28/2022	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	9/28/2022	5/15/2024