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	Health	5/28/2024		12/31/2025
Active	Non Resident	Agent	Life	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/4/2024	6/30/2025
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/4/2024	6/30/2025
Active	CMFG Life Insurance Company	300929	Agent - Life	6/6/2024
Inactive	Tier One Insurance Company	301056	Agent - Life	5/30/2024	6/20/2025

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
Inactive	Sutherland Global Services Inc	601788	Agent - Health	6/4/2024	6/30/2025