DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirk, Geisha Ellen	DOIID	348300	NAIC NPN	250048

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/20/1995	2/28/2006
Inactive	Non Resident	Agent	Life	7/20/1995	2/28/2006
* 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	American Bankers Life Assurance Company of Florida	300171	Agent - Health	5/1/2000	6/2/2003
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	5/1/2000	6/2/2003
Inactive	Combined Insurance Company of America	301472	Agent - Health	9/23/1997	6/27/2001
Inactive	Combined Insurance Company of America	301472	Agent - Life	9/23/1997	6/27/2001
Inactive	Continental Casualty Company	301019	Agent - Health	9/28/2001	12/6/2004
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/5/2004	11/15/2005
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/5/2004	11/15/2005
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	1/11/2005	2/28/2006
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	7/20/1995	3/31/1997
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	7/20/1995	3/31/1997
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	9/23/1997	5/2/2005
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	9/23/1997	5/2/2005
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	9/28/2001	12/6/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	9/28/2001	12/6/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TeleSpectrum, Inc	512199	Agent - Life	7/31/2000	5/2/2003
Inactive	TeleSpectrum, Inc	512199	Agent - Health	7/31/2000	5/2/2003