DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tarvin, Kerry D	DOIID	562401	NAIC NPN	1737532

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/26/2003	7/19/2004
Inactive	Resident	Agent	Life	3/26/2003	7/19/2004
* 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	Pacific Life Insurance Company	301848	Agent - Health	4/8/2003	7/1/2004
Inactive	Pacific Life Insurance Company	301848	Agent - Life	4/8/2003	7/1/2004
Inactive	Time Insurance Company	300683	Agent - Health	4/29/2003	7/1/2004
Inactive	Time Insurance Company	300683	Agent - Life	4/29/2003	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	World Financial Group Insurance Agency, LLC	400520	Agent - Health
Denied	World Financial Group Insurance Agency, LLC	400520	Agent - Life