DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Konick, Kris P	DOIID	550181	NAIC NPN	3316237

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/13/2018	1/31/2021
Inactive	Non Resident	Agent	Life	11/13/2018	1/31/2021
* 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	Liberty National Life Insurance Company	300827	Agent - Health	11/15/2018	1/31/2021
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	11/15/2018	1/24/2019
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/23/2003	12/16/2004
Inactive	Western National Life Insurance Company	300461	Agent - Life	11/5/2002	2/28/2005
Denied	Western-Southern Life Assurance Company	301590	Agent - Health
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	7/25/2002	2/28/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	4/27/2004	2/28/2005