DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gribbins, Kirby Shan	DOIID	615071	NAIC NPN	8584368

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/19/2005	12/1/2006
Inactive	Resident	Agent	Health	10/19/2005	12/1/2006
* 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	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	11/29/2005	7/31/2006
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	11/29/2005	7/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	12/1/2005	7/31/2006
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	12/1/2005	7/31/2006