DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	10/27/2025		2/28/2027
Inactive	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2026	02/28/2027

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	10/12/2022	2/28/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/12/2022	2/28/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/12/2022	2/28/2025
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
Inactive	American General Life Insurance Company	301585	Agent - Health	4/11/2023	10/21/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	4/11/2023	10/21/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/6/2024	2/28/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	8/18/2026
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/3/2023	2/28/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/12/2022	2/28/2025
Active	Tier One Insurance Company	301056	Agent - Health	8/25/2026
Inactive	Tier One Insurance Company	301056	Agent - Life	4/4/2023	2/28/2025
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/9/2022	2/28/2025
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/9/2022	2/28/2025
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	11/17/2025	12/1/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Life	11/16/2022	2/28/2025
Inactive	Optavise, LLC	671337	Agent - Health	11/16/2022	2/28/2025
Active	eHealthInsurance Services Inc.	514105	Agent - Health	9/2/2026