DEPARTMENT OF INSURANCE

Affiliations

Name	Wells, Kimberly Dawn	DOIID	556266	NAIC NPN	7409051

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	6/10/2014	5/16/2022
* 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	9/20/2002	7/1/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/20/2002	7/1/2004
Inactive	American General Life Insurance Company	301585	Agent - Health	2/10/2006	12/1/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	2/10/2006	12/1/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/5/2005	12/28/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/5/2005	12/28/2009
Inactive	CHA HMO, Inc.	300662	Agent - Health	10/25/2004	10/14/2010
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/17/2005	4/8/2008
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/17/2005	4/8/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/27/2007	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	9/27/2007	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	9/27/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/27/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/27/2007	9/8/2010
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	5/5/2005	6/8/2006
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/10/2014	5/16/2022
Inactive	Pacific Life Insurance Company	301848	Agent - Life	11/23/2014	5/16/2022
Inactive	Senior Life Insurance Company	558267	Agent - Life	9/22/2004	4/24/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/30/2014	5/16/2022
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/1/2014	10/1/2020
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	7/22/2014	10/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/20/2005	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	7/20/2005	6/23/2008
Inactive	Medlink Inc	400721	Agent - Health	6/16/2003	7/1/2004
Inactive	Medlink Inc	400721	Agent - Life	6/16/2003	7/1/2004
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	7/28/2014	1/7/2022