DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Payne, Kiesha	DOIID	1219534	NAIC NPN	20321673

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/9/2024		7/31/2026
Active	Non Resident	Agent	Personal Lines	10/15/2024		7/31/2026
Active	Non Resident	Agent	Life	2/9/2024		7/31/2026
* 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	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/21/2024	9/17/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/21/2024	9/17/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/21/2024	9/17/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/22/2024	3/13/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/22/2024	3/13/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/21/2024	9/17/2024
Inactive	Tier One Insurance Company	301056	Agent - Life	2/14/2024	2/28/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	6/24/2024	7/24/2024
Denied	Gohealth LLC	691445	Agent - Life
Inactive	Sutherland Global Services Inc	601788	Agent - Health	2/22/2024	3/13/2024
Inactive	Sutherland Global Services Inc	601788	Agent - Life	2/21/2024	3/13/2024