DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Kim Tee	DOIID	556794	NAIC NPN	7433155

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	10/18/2022		7/31/2026
Active	Resident	Agent	Health	10/18/2022		7/31/2026
* 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	05/15/2024	07/31/2024	07/03/2024	07/03/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	10/19/2022
Active	All Savers Insurance Company	301940	Agent - Life	10/19/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/24/2010	6/30/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/24/2010	6/30/2011
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	10/5/2016	1/29/2018
Inactive	CHA HMO, Inc.	300662	Agent - Health	11/18/2003	4/1/2007
Inactive	CMD Health, Inc.	702047	Agent - Health	9/7/2010	3/31/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/11/2009	10/23/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/4/2009	10/23/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/4/2009	10/23/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/4/2009	10/23/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/4/2009	10/23/2010
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/19/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	10/19/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/19/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/19/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Baptist Health Plan, Inc. (TPA)	397874	Agent - Health	5/31/2017	1/29/2018
Denied	Baptist Health Plan, Inc. (TPA)	397874	Agent - Life
Inactive	Epic Ins Solutions Agency Llc	961527	Agent - Health	10/23/2018	3/31/2021
Inactive	Epic Ins Solutions Agency Llc	961527	Agent - Life	10/23/2018	3/31/2021