DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirby Sr., Stephan Edwin	DOIID	574092	NAIC NPN	7819853

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/9/2003	7/1/2006
Inactive	Resident	Agent	Health	10/9/2003	7/1/2006
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	3/22/2004	5/10/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/22/2004	5/10/2006
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	3/22/2004	12/29/2004
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	3/22/2004	12/29/2004
Inactive	Augustar Life Insurance Company	301816	Agent - Health	3/22/2004	12/29/2004
Inactive	Augustar Life Insurance Company	301816	Agent - Life	3/22/2004	12/29/2004
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	10/9/2003	2/16/2004
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	10/9/2003	2/16/2004
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	11/5/2003	2/16/2004
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	11/5/2003	2/16/2004
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/5/2004	1/20/2005
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/5/2004	1/20/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	2/4/2004	2/16/2004
Inactive	Medlink Inc	400721	Agent - Life	2/4/2004	2/16/2004