DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Meyer, Kimberley Jo	DOIID	540805	NAIC NPN	7220144

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	1/25/2006	7/1/2006
Inactive	Resident	Agent	Health	1/25/2006	7/1/2006
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/27/2001	9/30/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/27/2001	9/30/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/30/2003	6/22/2004
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/30/2003	6/22/2004
Inactive	Canada Life Assurance Company	301192	Agent - Health	12/16/2003	6/22/2004
Inactive	Canada Life Assurance Company	301192	Agent - Life	12/16/2003	6/22/2004
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/1/2005	9/30/2005
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/1/2005	9/30/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/30/2003	9/30/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/30/2003	9/30/2005
Inactive	Health Resources Inc.	301210	Agent - Health	2/6/2004	6/22/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/26/2004	9/30/2005
Inactive	Humana Insurance Company	301104	Agent - Health	5/26/2004	9/30/2005
Inactive	Humana Insurance Company	301104	Agent - Life	5/26/2004	9/30/2005
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/26/2004	9/30/2005
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/26/2004	9/30/2005
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	12/4/2003	6/22/2004
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	12/4/2003	6/22/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	7/22/2004	9/30/2005
Inactive	Medlink Inc	400721	Agent - Life	12/23/2003	9/30/2005
Inactive	Medlink Inc	400721	Agent - Health	12/23/2003	9/30/2005