DEPARTMENT OF INSURANCE

Affiliations

Name	Kiser, Carla J	DOIID	355816	NAIC NPN	3206007

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	9/4/1997	3/31/2001
Active	Resident	Agent	Health	7/20/2015		7/31/2025
Active	Resident	Agent	Life	8/17/2015		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Fidelity Assurance Company	301004	Agent - Health	3/10/2008	8/1/2013
Inactive	American Fidelity Assurance Company	301004	Agent - Life	3/10/2008	8/1/2013
Inactive	American United Life Insurance Company	300498	Agent - Health	10/28/2006	8/1/2013
Inactive	American United Life Insurance Company	300498	Agent - Life	10/28/2006	8/1/2013
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	4/8/2003	10/23/2006
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	4/8/2003	10/23/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/29/1996	6/9/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/29/1996	6/9/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	2/28/2008	12/22/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	2/28/2008	12/22/2011
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	11/1/2004	1/9/2009
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	11/1/2004	1/9/2009
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	11/17/2004	8/1/2013
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	11/17/2004	8/1/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/23/1997	8/1/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/23/1997	8/1/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/2/2009	8/1/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/2/2009	12/8/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	9/2/2009	12/8/2011
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	12/31/2004	8/1/2013
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	12/31/2004	8/1/2013
Inactive	Dental Care Plus Inc.	301495	Agent - Health	6/18/2009	8/1/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/31/2008	8/1/2013
Inactive	DentiCare, Inc.	300655	Agent - Health	1/24/2003	11/1/2005
Active	Guardian Life Insurance Company of America	301316	Agent - Health	6/25/2018
Active	Guardian Life Insurance Company of America	301316	Agent - Life	6/25/2018
Inactive	HM Life Insurance Company	301408	Agent - Health	6/9/1997	1/1/1999
Inactive	HM Life Insurance Company	301408	Agent - Life	6/9/1997	1/1/1999
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/13/2006	8/1/2013
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/13/2006	8/1/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/10/2003	8/1/2013
Inactive	Humana Insurance Company	301104	Agent - Health	2/7/2003	8/1/2013
Inactive	Humana Insurance Company	301104	Agent - Life	2/7/2003	8/1/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/6/2005	8/1/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/6/2005	8/1/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/23/2008	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/23/2008	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	8/1/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	8/1/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/1/2008	7/25/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/1/2008	7/25/2012
Inactive	Medical Life Insurance Company	300693	Agent - Health	12/17/1996	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	12/17/1996	12/31/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/27/2004	5/4/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/27/2004	5/4/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/15/2008	8/1/2013
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/23/2003	10/26/2010
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/23/2003	10/26/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/2/2010	8/1/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/2/2010	8/1/2013
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	10/28/2016	12/29/2023
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	10/28/2016	12/29/2023
Inactive	Superior Dental Care Inc.	300418	Agent - Health	1/11/2010	8/1/2013
Inactive	Time Insurance Company	300683	Agent - Health	6/9/1999	12/14/2004
Inactive	Time Insurance Company	300683	Agent - Life	6/9/1999	12/14/2004
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	10/10/2005	10/1/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/2/2010	8/1/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/2/2010	8/1/2013
Inactive	Union Security Insurance Company	301844	Agent - Health	10/9/2015	12/23/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	10/9/2015	12/23/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/15/2008	8/1/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/15/2008	8/1/2013
Inactive		300277	Agent - Life	7/26/2005	8/14/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/20/2010	8/1/2013
Inactive	Kentucky Hospital Service Company of Kentucky, LLC	401254	Administrator - Not Applicable	9/4/1997	3/31/2001
Inactive	National City Insurance Group Inc.	399045	Agent - Life	3/11/2008	7/16/2010
Inactive	National City Insurance Group Inc.	399045	Agent - Health	3/11/2008	7/16/2010
Inactive	Thompson Associates Inc.	398584	Agent - Life	1/22/2001	3/31/2008
Inactive	Thompson Associates Inc.	398584	Agent - Health	1/22/2001	3/31/2008
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	5/25/2011	1/4/2013
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	5/25/2011	1/4/2013
Inactive	USI Midwest LLC	517736	Agent - Life	4/7/2010	11/4/2011
Inactive	USI Midwest LLC	517736	Agent - Health	4/7/2010	11/4/2011