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	Life	8/17/2015		7/31/2025
Active	Resident	Agent	Health	7/20/2015		7/31/2025
* 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 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