PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameEllis, Kimberly ADOIID370404NAIC NPN7200362
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAdministratorNot Applicable4/21/19953/31/1999 
InactiveResidentAgentHealth2/22/20107/1/2010 
InactiveResidentAgentLife2/18/20107/1/2010 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/22/20107/1/2010
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/18/20107/1/2010
InactiveCompBenefits Dental, Inc.591692Agent - Health6/3/20107/1/2010
InactiveCompBenefits Insurance Company301864Agent - Health6/3/20107/1/2010
InactiveCompBenefits Insurance Company301864Agent - Life6/3/20107/1/2010
InactiveDental Concern Inc. (The)301641Agent - Health6/3/20107/1/2010
InactiveHumana Health Plan, Inc.300142Agent - Health6/3/20107/1/2010
InactiveHumana Insurance Company301104Agent - Health6/3/20107/1/2010
InactiveHumana Insurance Company301104Agent - Life6/3/20107/1/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/3/20107/1/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/3/20107/1/2010
InactiveKanawha Insurance Company300127Agent - Health6/3/20107/1/2010
InactiveKanawha Insurance Company300127Agent - Life6/3/20107/1/2010
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia Senior of The Southeast Inc.401297Administrator - Not Applicable4/21/19953/31/1999
InactiveMedlink Inc400721Agent - Life4/6/20107/1/2010
InactiveMedlink Inc400721Agent - Health4/6/20107/1/2010

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