DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roy, Kimberly J	DOIID	1233913	NAIC NPN	19261305

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/30/2022		2/28/2025
Active	Non Resident	Agent	Life	9/30/2022		2/28/2025
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/12/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/12/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	10/12/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/9/2023	9/25/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/9/2023	9/25/2023
Active	American General Life Insurance Company	301585	Agent - Health	4/11/2023
Active	American General Life Insurance Company	301585	Agent - Life	4/11/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/3/2023
Active	SilverScript Insurance Company	663526	Agent - Health	10/12/2022
Active	Tier One Insurance Company	301056	Agent - Health	4/4/2023
Active	Tier One Insurance Company	301056	Agent - Life	4/4/2023
Active	Trustmark Insurance Company	300317	Agent - Health	10/9/2022
Active	Trustmark Insurance Company	300317	Agent - Life	10/9/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Optavise, LLC	671337	Agent - Life	11/16/2022
Active	Optavise, LLC	671337	Agent - Health	11/16/2022