DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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		3/31/2027
* 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	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