DEPARTMENT OF INSURANCE

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.

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	1/30/2018
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