DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lathan, Kimberly Sherrae	DOIID	1282245	NAIC NPN	16380724

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/26/2023		10/31/2025
Active	Non Resident	Agent	Life	6/26/2023		10/31/2025
* 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
Inactive	Accendo Insurance Company	300312	Agent - Health	7/14/2023	11/17/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/28/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/14/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Health	8/8/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Life	8/8/2023
Active	Humana Insurance Company	301104	Agent - Health	7/13/2023
Active	Monitor Life Insurance Company of New York	1117550	Agent - Health	8/25/2023
Active	Monitor Life Insurance Company of New York	1117550	Agent - Life	10/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Extend Insurance Services, LLC	625753	Agent - Life	8/8/2023
Active	Extend Insurance Services, LLC	625753	Agent - Health	8/3/2023