DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirkpatrick, Kimberly Ann	DOIID	309640	NAIC NPN	7159927

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	9/3/2019		9/30/2024
Active	Resident	Agent	Health	8/14/1995		9/30/2024
Inactive	Resident	Agent	Non-profit Health Service	12/30/1998	3/1/2001
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/14/1995	12/11/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/14/1995	12/11/2002
Active	Delta Dental of Kentucky, Inc.	301166	Agent - Health	3/1/2001
Inactive	Delta Dental of Kentucky, Inc.	301166	Agent - Non-profit Health Service	12/30/1998	3/1/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Ancillary Choice LLC	1070423	Agent - Life
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/8/1995	12/11/2002
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/8/1995	2/28/2003
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	3/1/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Non-profit Health Service	8/9/1999	3/1/2001