DEPARTMENT OF INSURANCE

Affiliations

Name	Rose, Kimberly M	DOIID	388501	NAIC NPN	1964464

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health Maintenance Organization	12/15/1998	9/22/1999
Inactive	Non Resident	Agent	Casualty	8/15/2000	1/5/2010
Inactive	Non Resident	Agent	Property	8/15/2000	1/5/2010
Inactive	Non Resident	Agent	Life	3/6/2000	1/5/2010
Inactive	Non Resident	Agent	General Lines	12/27/1999	8/15/2000
Inactive	Non Resident	Agent	Health	3/6/2000	1/5/2010
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	4/23/2009	1/5/2010
Inactive	AIG Assurance Company	300897	Agent - Property	4/23/2009	1/5/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	2/10/1998	9/22/1999
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/10/1998	9/22/1999
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/6/2000	7/10/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/6/2000	7/10/2003
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Casualty	8/15/2000	4/23/2007
Inactive	American Resources Insurance Company, Inc.	300454	Agent - General Lines	6/2/2000	8/15/2000
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Property	8/15/2000	4/23/2007
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/21/2001	1/5/2010
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	10/30/1997	9/22/1999
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	10/30/1997	9/22/1999
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	12/3/2001	10/13/2008
Inactive	Continental Casualty Company	301019	Agent - Health	9/5/1997	9/22/1999
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Casualty	8/15/2000	12/31/2004
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - General Lines	12/30/1999	8/15/2000
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Property	8/15/2000	12/31/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	1/15/2002	12/23/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	1/15/2002	12/23/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/4/1999	9/22/1999
Inactive	Humana Insurance Company	301104	Agent - Health	6/4/1999	9/22/1999
Inactive	Humana Insurance Company	301104	Agent - Life	6/4/1999	9/22/1999
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	7/14/1998	9/22/1999
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	7/14/1998	9/22/1999
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/2/2009	7/9/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/2/2009	7/9/2009
Inactive	Medical Life Insurance Company	300693	Agent - Health	1/8/1998	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	1/8/1998	12/31/2004
Inactive	Midwest Employers Casualty Company	300124	Agent - Casualty	8/15/2000	5/31/2006
Inactive	Midwest Employers Casualty Company	300124	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Midwest Employers Casualty Company	300124	Agent - Property	8/15/2000	5/31/2006
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	4/23/2009	1/5/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	4/23/2009	1/5/2010
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/12/2000	12/2/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/12/2000	12/2/2008
Inactive	Reliance Insurance Company	300785	Agent - General Lines	4/14/1998	9/22/1999
Inactive	Reliance National Indemnity Company	301939	Agent - General Lines	4/14/1998	9/22/1999
Inactive	Reliance National Insurance Company	301675	Agent - General Lines	4/14/1998	9/22/1999
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	12/31/2004	9/15/2007
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	12/31/2004	9/15/2007
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	3/28/1998	9/22/1999
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	3/28/1998	9/22/1999
Inactive	Texas Life Insurance Company	300345	Agent - Life	2/15/2001	7/15/2005
Inactive	Time Insurance Company	300683	Agent - Health	1/16/2001	11/26/2002
Inactive	Time Insurance Company	300683	Agent - Life	1/16/2001	11/26/2002
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/31/2000	10/8/2001
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/27/2001	2/27/2001
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	2/27/2002	12/28/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	12/10/2001	12/28/2006
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/20/2000	4/18/2003
Inactive	United Pacific Insurance Company	300538	Agent - General Lines	4/14/1998	9/22/1999
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/15/1998	9/22/1999
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/15/1998	9/22/1999
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	12/15/1998	9/22/1999
Inactive	West Coast Life Insurance Company	301607	Agent - Health	2/11/2002	12/20/2004
Inactive	West Coast Life Insurance Company	301607	Agent - Life	2/11/2002	7/15/2003
Inactive	William Penn Association	300101	Agent - Life	5/15/2007	1/5/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Store, LLC (The)	573356	Agent - Life	10/13/2004	1/5/2010
Inactive	Insurance Store, LLC (The)	573356	Agent - Health	10/13/2004	12/23/2008
Inactive	Insurance Store, LLC (The)	573356	Agent - Property	5/28/2009	1/5/2010
Inactive	Insurance Store, LLC (The)	573356	Agent - Casualty	5/28/2009	1/5/2010
Inactive	Medlink Inc	400721	Agent - Life	1/20/2009	1/5/2010
Denied	Medlink Inc	400721	Agent - Health
Inactive	Statewide Insurance Services, Inc.	399559	Agent - Life	3/15/2001	11/14/2001
Inactive	Statewide Insurance Services, Inc.	399559	Agent - Health	3/15/2001	11/14/2001
Inactive	Statewide Insurance Services, Inc.	399559	Agent - Property	8/15/2000	11/14/2001
Inactive	Statewide Insurance Services, Inc.	399559	Agent - Casualty	8/15/2000	11/14/2001