DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shoemake, Kimberly J	DOIID	389431	NAIC NPN	7208701

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Health Maintenance Organization	7/14/1993	3/1/2001
* 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	Advantage Care, Inc.	300998	Agent - Health Maintenance Organization	7/14/1993	2/12/1996
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/7/1999	7/3/2000
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	11/25/2002	11/19/2003
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	12/30/1998	3/1/2001
Inactive	CHA HMO, Inc.	300662	Agent - Health	11/19/2002	7/1/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/21/1999	8/3/1999
Inactive	Humana Insurance Company	301104	Agent - Health	6/21/1999	7/1/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/12/1998	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	R. Carr Insurance Agency Inc.	399034	Agent - Health	7/27/2000	4/29/2002