DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dickerson, Kimberly Ann	DOIID	601455	NAIC NPN	3948420

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	1/18/2005	12/31/2007
Inactive	Non Resident	Agent	Health	1/19/2012	12/31/2015
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	8/20/2013	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/20/2013	12/5/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	5/10/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/20/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	1/21/2012	5/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/20/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/20/2013	12/5/2014
Inactive	Omaha Insurance Company	751908	Agent - Health	11/4/2014	12/22/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/10/2013	12/11/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/10/2013	12/11/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	5/30/2012	5/10/2013