DEPARTMENT OF INSURANCE

Affiliations

Name	Kirk, John R	DOIID	345732	NAIC NPN	1814407

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health Maintenance Organization	2/12/1997	6/29/1998
Inactive	Non Resident	Agent	Life	9/19/2013	11/30/2017
Inactive	Non Resident	Agent	Health	9/19/2013	11/30/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/16/2013	11/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/16/2013	11/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/16/2013	11/30/2017
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	2/11/1997	7/7/1998
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/11/1997	7/7/1998
Inactive	American Continental Insurance Company	643130	Agent - Health	10/21/2013	11/12/2014
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/2/2014	10/21/2016
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/1/2010	9/1/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/2/2014	10/21/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/2/2014	10/21/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/1/2013	5/4/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/21/2013	11/10/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/1/2013	5/4/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/12/2014	11/30/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/4/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/1/2013	5/4/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	2/12/1997	6/29/1998
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/1/2013	5/4/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	12/9/1997	6/29/1998
Inactive	Humana Insurance Company	301104	Agent - Health	10/1/2013	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/1/2013	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/1/2013	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/1/2013	5/4/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/1/2013	5/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/1/2013	5/4/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/26/2013	3/9/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/26/2013	3/9/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	3/9/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/25/2013	9/11/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/25/2013	9/11/2014