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DEPARTMENT OF INSURANCE
Affiliations
Name
Rustay, Kim Harrison
DOIID
379072
NAIC NPN
411419
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
10/26/1978
4/30/2005
Inactive
Resident
Agent
Health Maintenance Organization
6/18/1985
3/1/2001
Inactive
Resident
Agent
Life
10/26/1978
4/30/2005
* 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
Allianz Life Insurance Company of North America
301791
Agent - Health
3/18/1996
3/1/2002
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
3/18/1996
3/1/2002
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
8/31/1998
4/30/2005
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Health
8/31/1994
6/15/2000
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Life
8/31/1994
6/15/2000
Inactive
Anthem Life Insurance Company
301209
Agent - Health
2/10/1994
8/21/2000
Inactive
Anthem Life Insurance Company
301209
Agent - Life
2/10/1994
8/21/2000
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Health
11/21/1991
3/31/1997
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Life
11/21/1991
3/31/1997
Inactive
Conseco Insurance Company
301202
Agent - Life
10/4/1999
10/3/2003
Inactive
Continental Casualty Company
301019
Agent - Health
10/21/1996
10/30/2002
Inactive
Golden Rule Insurance Company
301943
Agent - Health
11/19/1985
3/31/1997
Inactive
Golden Rule Insurance Company
301943
Agent - Life
11/19/1985
3/31/1997
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
9/13/2002
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
6/18/1985
3/1/2001
Inactive
John Alden Life Insurance Company
300573
Agent - Health
11/23/1992
3/31/1997
Inactive
John Alden Life Insurance Company
300573
Agent - Life
11/23/1992
3/31/1997
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
9/30/1996
8/7/1997
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
9/30/1996
8/7/1997
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
10/9/1996
8/7/1997
Inactive
LifeUSA Insurance Company
300386
Agent - Health
3/28/1996
3/1/2002
Inactive
LifeUSA Insurance Company
300386
Agent - Life
3/28/1996
3/1/2002
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
4/12/1996
10/29/2001
Inactive
Manhattan National Life Insurance Company
301011
Agent - Health
2/15/1994
3/31/1997
Inactive
Manhattan National Life Insurance Company
301011
Agent - Life
2/15/1994
3/31/1997
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
3/14/1998
9/23/2003
Inactive
NYLIFE Insurance Company of Arizona
301642
Agent - Health
9/19/1991
10/12/1998
Inactive
NYLIFE Insurance Company of Arizona
301642
Agent - Life
9/19/1991
10/12/1998
Inactive
National Western Life Insurance Company
301515
Agent - Health
3/8/1996
8/2/1999
Inactive
National Western Life Insurance Company
301515
Agent - Life
3/8/1996
8/2/1999
Inactive
New York Life Insurance Company
300431
Agent - Health
10/26/1978
10/12/1998
Inactive
New York Life Insurance Company
300431
Agent - Life
10/26/1978
10/12/1998
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Health
11/24/1981
10/12/1998
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
11/24/1981
10/12/1998
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
6/1/1998
8/24/2000
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
6/1/1998
8/24/2000
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
6/1/1998
8/24/2000
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
2/9/1998
1/2/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
2/9/1998
1/2/2003
Inactive
Trustmark Insurance Company
300317
Agent - Health
7/7/1992
3/31/1997
Inactive
Trustmark Insurance Company
300317
Agent - Life
7/7/1992
3/31/1997
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Health
7/15/1997
7/14/2003
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
7/15/1997
11/15/2002
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
11/23/1993
2/21/2001
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
11/23/1993
2/21/2001
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
9/10/1999
8/7/2000
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
9/10/1999
8/7/2000
Inactive
Healthplan Services, Inc.
401230
Agent - Health
8/31/1995
3/31/1997
Inactive
Insurance One Inc.
399840
Agent - Health
1/21/1994
9/23/2003
Inactive
Insurance One Inc.
399840
Agent - Life
1/21/1994
5/31/2004
Denied
Medlink Inc
400721
Agent - Health
Inactive
Medlink Inc
400721
Agent - Life
7/15/1996
4/30/2005
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