DEPARTMENT OF INSURANCE

Affiliations

Name	Kirk, George C	DOIID	304910	NAIC NPN	7157819

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/21/1993	12/1/2017
Inactive	Resident	Agent	Health Maintenance Organization	5/10/1991	3/1/2001
Inactive	Resident	Agent	Life	4/21/1993	12/1/2017
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	12/1/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	5/10/1991	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/28/1998	10/10/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/21/1993	12/1/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/21/1993	12/1/2017
Inactive	Fresenius Health Plans Insurance Company	300180	Agent - Health	2/10/1995	3/31/1999
Inactive	Fresenius Health Plans Insurance Company	300180	Agent - Life	2/10/1995	3/31/1999
Inactive	Genworth Life Insurance Company	300623	Agent - Health	11/8/1995	8/9/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/8/1995	8/9/2005
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/8/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/8/1995	3/31/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/12/2007	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	9/12/2007	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	9/12/2007	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/12/2007	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/12/2007	8/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/22/2010	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/22/2010	2/23/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	7/1/1997	4/12/1999
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	7/1/1997	4/12/1999
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	10/25/2000	8/14/2003
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	10/25/2000	8/14/2003
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	7/10/1995	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	7/10/1995	3/31/1999
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	8/5/1997	1/23/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	8/8/1995	11/10/2004
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	8/8/1995	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/21/1997	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/21/1997	12/11/2002
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	8/3/1995	11/19/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	8/3/1995	11/19/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/10/2002	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/10/2002	9/9/2015
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	8/18/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	8/18/1995	3/31/1997
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	5/28/1997	6/28/2000
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	5/28/1997	6/28/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	6/15/1995	2/10/2004
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	6/15/1995	2/10/2004
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/5/2006	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	7/5/2006	6/23/2008
Inactive	George C. Kirk & Associates, LLC	639937	Agent - Health	10/28/2008	3/31/2016
Inactive	George C. Kirk & Associates, LLC	639937	Agent - Life	10/28/2008	3/31/2016
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Health	2/13/2008	12/1/2017
Inactive	Medlink Inc	400721	Agent - Life	2/13/2008	12/1/2017