DEPARTMENT OF INSURANCE

Affiliations

Name	Gardner, Kevin M	DOIID	558165	NAIC NPN	560044

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/7/2002	1/31/2026
Active	Non Resident	Agent	Health	10/7/2002	1/31/2026
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/23/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	10/23/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	10/23/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/27/2012	3/1/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/24/2012	3/1/2018
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	2/24/2005	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	2/24/2005	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/24/2005	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/24/2005	11/16/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/24/2012	3/1/2018
Inactive	Humana Insurance Company	301104	Agent - Health	2/24/2012	3/1/2018
Inactive	Humana Insurance Company	301104	Agent - Life	2/24/2012	3/1/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/27/2012	3/1/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/27/2012	3/1/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/27/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/27/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/24/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/24/2012	10/22/2015
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	10/7/2002	8/2/2011
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	10/7/2002	8/2/2011
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	12/4/2002
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	12/4/2002
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/3/2011
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/3/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HUB International Midwest Limited	398717	Agent - Health	10/30/2023
Active	HUB International Midwest Limited	398717	Agent - Life	10/30/2023