DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirby, Carmen Lynn	DOIID	383804	NAIC NPN	7206254

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	4/28/1993		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Alliance Insurance Company	301000	Agent - Life	9/7/2001	9/15/2002
Denied	Homesteaders Life Company	300836	Agent - Life
Inactive	IA American Life Insurance Company	301149	Agent - Life	4/28/1993	2/23/1996
Active	Investors Heritage Life Insurance Company	300363	Agent - Life	10/15/2024
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	12/28/2012	12/8/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	J. C. Kirby & Son Funeral Chapel Inc.	400034	Agent - Life	6/13/2023