DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Simon, Kendell	DOIID	1342196	NAIC NPN	20837656

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/28/2024		12/31/2025
Active	Non Resident	Agent	Health	5/28/2024		12/31/2025
* 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
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/4/2024
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/4/2024
Active	CMFG Life Insurance Company	300929	Agent - Life	6/6/2024
Active	Tier One Insurance Company	301056	Agent - Life	5/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sutherland Global Services Inc	601788	Agent - Life	6/3/2024
Active	Sutherland Global Services Inc	601788	Agent - Health	6/4/2024