DEPARTMENT OF INSURANCE
Affiliations
NameBasham, Kimberly MichelleDOIID599164NAIC NPN8319549
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth2/2/2005 3/31/2026
ActiveResidentAgentVariable Life and Variable Annuities2/26/2007 3/31/2026
ActiveResidentAgentLife2/2/2005 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life6/3/201912/12/2022
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities6/3/201911/27/2022
ActiveAmerican General Life Insurance Company301585Agent - Life12/31/2012 
ActiveAthene Annuity and Life Company301893Agent - Life6/15/2022 
InactiveAugustar Life Assurance Corporation301113Agent - Life1/13/201112/8/2012
InactiveAugustar Life Assurance Corporation301113Agent - Variable Life and Variable Annuities1/13/201112/8/2012
ActiveBanner Life Insurance Company301696Agent - Life12/30/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Health11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities12/5/2017 
InactiveC.M. Life Insurance Company301335Agent - Health8/9/200511/9/2012
InactiveC.M. Life Insurance Company301335Agent - Life8/9/200511/9/2012
ActiveCMFG Life Insurance Company300929Agent - Health2/7/2019 
ActiveCMFG Life Insurance Company300929Agent - Life2/7/2019 
ActiveCMFG Life Insurance Company300929Agent - Variable Life and Variable Annuities2/7/2019 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life6/5/2022 
InactiveDelaware Life Insurance Company301256Agent - Life3/17/200912/21/2021
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities3/17/200911/21/2022
ActiveEagle Life Insurance Company701261Agent - Life10/14/2021 
InactiveEmpower Annuity Insurance Company of America300259Agent - Life9/22/20057/31/2018
InactiveEverlake Life Insurance Company300873Agent - Life6/29/201111/14/2013
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities6/29/201111/14/2013
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life8/25/20056/16/2010
ActiveForethought Life Insurance Company301407Agent - Health7/16/2012 
ActiveForethought Life Insurance Company301407Agent - Life11/21/2011 
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health11/12/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life11/12/201012/7/2012
ActiveJackson National Life Insurance Company300486Agent - Life8/18/2009 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities8/18/2009 
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health7/28/20057/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life7/28/20057/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health7/28/20054/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life7/28/20054/2/2007
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/2/20104/2/2013
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities9/2/20104/2/2013
InactiveLincoln Life Assurance Company of Boston301915Agent - Life6/25/201210/10/2019
InactiveLincoln Life Assurance Company of Boston301915Agent - Variable Life and Variable Annuities6/25/20123/8/2021
ActiveLincoln National Life Insurance Company (The)301382Agent - Health1/29/2025 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life1/29/2025 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities1/29/2025 
ActiveMEMBERS Life Insurance Company301289Agent - Health2/7/2019 
ActiveMEMBERS Life Insurance Company301289Agent - Life2/7/2019 
ActiveMEMBERS Life Insurance Company301289Agent - Variable Life and Variable Annuities2/7/2019 
ActiveMassMutual Ascend Life Insurance Company300320Agent - Life11/2/2017 
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health8/9/200511/9/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life8/9/200511/9/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Health7/19/200511/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life7/19/200511/14/2014
ActiveMidland National Life Insurance Company300923Agent - Life6/8/2020 
InactiveMutual of Omaha Insurance Company301012Agent - Health11/29/201112/26/2012
ActiveNational Western Life Insurance Company301515Agent - Life2/26/2020 
ActiveNationwide Life Insurance Company300495Agent - Health8/9/2022 
ActiveNationwide Life Insurance Company300495Agent - Life8/9/2022 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities8/9/2022 
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health12/15/201612/17/2020
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life12/15/201612/17/2020
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities12/15/201612/17/2020
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life7/19/2005 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities4/25/2007 
ActivePacific Life Insurance Company301848Agent - Life9/20/2013 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities9/20/2013 
InactiveProtective Life Insurance Company300638Agent - Health9/26/201311/23/2015
InactiveProtective Life Insurance Company300638Agent - Life9/26/201311/23/2015
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities9/26/201311/23/2015
InactivePruco Life Insurance Company300954Agent - Health9/16/201112/23/2024
InactivePruco Life Insurance Company300954Agent - Life9/16/201112/23/2024
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities9/16/201112/23/2024
InactivePrudential Insurance Company of America300784Agent - Life9/24/202012/21/2022
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities9/24/202012/21/2022
ActiveS.USA Life Insurance Company, Inc.301774Agent - Life12/28/2022 
ActiveState Life Insurance Company301497Agent - Health6/3/2010 
ActiveState Life Insurance Company301497Agent - Life6/3/2010 
ActiveSymetra Life Insurance Company301691Agent - Health11/10/2022 
ActiveSymetra Life Insurance Company301691Agent - Life11/10/2022 
ActiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities11/10/2022 
InactiveTalcott Resolution Life Insurance Company301759Agent - Health7/21/200512/21/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Life7/21/200512/21/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities4/24/200712/21/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health10/31/201212/21/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life10/31/201212/21/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities10/31/201212/21/2015
ActiveTransamerica Life Insurance Company300571Agent - Life9/11/2006 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/25/2007 
ActiveUnited Life Insurance Company664766Agent - Life2/28/2022 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/29/201112/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/29/201112/26/2012
InactiveWestern National Life Insurance Company300461Agent - Life7/18/200512/31/2012
ActiveWestern-Southern Life Assurance Company301590Agent - Health10/11/2013 
ActiveWestern-Southern Life Assurance Company301590Agent - Life10/11/2013 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveHuntington Insurance Inc515749Agent - Life4/27/2022 
ActiveHuntington Insurance Inc515749Agent - Health4/27/2022 
ActiveHuntington Investment Co The633475Agent - Life4/15/2020 
ActiveHuntington Investment Co The633475Agent - Variable Life and Variable Annuities4/15/2020 

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