DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	J. C. Kirby & Son Funeral Chapel Inc.	DOIID	400034	NAIC NPN	7222112

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/13/2023		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Homesteaders Life Company	300836	Agent - Life	10/12/2011	11/6/2013
Inactive	IA American Life Insurance Company	301149	Agent - Life	6/8/1993	8/16/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	10/18/1995	3/31/2021
Inactive	Union Security Insurance Company	301844	Agent - Life	10/25/1999	9/13/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Holderfield, Thomas C	331596	Agent - Life	6/8/1993	2/27/2003
Active	Kirby, Carmen Lynn	383804	Agent - Life	6/13/2023
Denied	Smith, Eddie Leach	324135	Agent - Life
Inactive	Ward, Tim	342327	Agent - Life	3/21/2003	1/1/2013