DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kupper, Kristin M	DOIID	389810	NAIC NPN	7208838

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	7/23/1993	7/1/1996
Inactive	Resident	Agent	Life	10/5/1996	7/1/1996
Inactive	Resident	Agent	Health	10/5/1996	7/1/1996
* 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	Encova Life Insurance Company	301818	Agent - Health	10/5/1996	7/1/1996
Inactive	Encova Life Insurance Company	301818	Agent - Life	10/5/1996	7/1/1996
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	7/23/1993	7/1/1996
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	10/4/1994	7/1/1996
Inactive	Westfield Insurance Company	301950	Agent - General Lines	8/5/1993	7/1/1996
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	8/5/1993	7/1/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hyland Block & Hyland Inc.	398511	Agent - General Lines	8/19/1993	7/1/1996