DEPARTMENT OF INSURANCE

Affiliations

Name	Work, Kristen Brooke	DOIID	616492	NAIC NPN	8603558

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	9/25/2017	2/28/2027
Active	Resident	Agent	Life	9/25/2017	2/28/2027
Active	Resident	Agent	Property	7/16/2015	2/28/2027
Active	Resident	Agent	Casualty	7/16/2015	2/28/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	6/15/2026
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	6/15/2026
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	6/15/2026
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	6/15/2026
Active	American Economy Insurance Company	300315	Agent - Casualty	9/1/2022
Active	American Economy Insurance Company	300315	Agent - Property	9/1/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/23/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/23/2019
Inactive	American Select Insurance Company	301229	Agent - Casualty	6/16/2022	4/24/2026
Inactive	American Select Insurance Company	301229	Agent - Property	6/16/2022	4/24/2026
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	6/15/2026	6/16/2026
Inactive	Ansur America Insurance Company	520667	Agent - Property	6/15/2026	6/16/2026
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	5/20/2026
Active	Auto-Owners Insurance Company	301480	Agent - Property	5/20/2026
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	11/6/2017	5/11/2023
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	5/20/2026
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/30/2018	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/30/2018	12/20/2024
Active	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	9/5/2023
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	9/5/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	1/16/2018
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	1/16/2018
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	1/16/2018
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	1/16/2018
Active	Cincinnati Insurance Company	301298	Agent - Casualty	1/16/2018
Active	Cincinnati Insurance Company	301298	Agent - Property	1/16/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/27/2007	3/24/2009
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/27/2007	3/24/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/23/2010	3/1/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/23/2010	3/1/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/23/2010	3/1/2011
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	11/20/2007	12/30/2009
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	11/20/2007	12/30/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/23/2010	3/1/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/27/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/27/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	4/27/2017	1/30/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	4/27/2017	1/30/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	4/27/2017	1/30/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	4/27/2017	1/30/2018
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	6/15/2026	6/16/2026
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	6/15/2026	6/16/2026
Active	GEICO Marine Insurance Company	590512	Agent - Casualty	4/22/2025
Active	GEICO Marine Insurance Company	590512	Agent - Property	4/22/2025
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/13/2015
Active	Grange Indemnity Insurance Company	300793	Agent - Property	8/13/2015
Active	Grange Insurance Company	300234	Agent - Casualty	8/13/2015
Active	Grange Insurance Company	300234	Agent - Property	8/13/2015
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	8/13/2015
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	8/13/2015
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	6/15/2026
Active	Hanover American Insurance Company (The)	300447	Agent - Property	6/15/2026
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	6/15/2026
Active	Hanover Insurance Company (The)	300508	Agent - Property	6/15/2026
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/23/2010	3/1/2011
Inactive	Humana Insurance Company	301104	Agent - Health	11/23/2010	3/1/2011
Inactive	Humana Insurance Company	301104	Agent - Life	11/23/2010	3/1/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/23/2010	3/1/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/23/2010	3/1/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/23/2010	3/1/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/23/2010	3/1/2011
Active	Insurance Company of the West	301520	Agent - Casualty	2/19/2025
Active	Insurance Company of the West	301520	Agent - Property	2/19/2025
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/23/2010	3/1/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/23/2010	3/1/2011
Active	Kentucky National Insurance Company	301625	Agent - Casualty	4/25/2022
Active	Kentucky National Insurance Company	301625	Agent - Property	4/25/2022
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	6/15/2026
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	6/15/2026
Active	Milbank Insurance Company	925185	Agent - Casualty	3/6/2020
Active	Milbank Insurance Company	925185	Agent - Property	3/6/2020
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/19/2023
Active	Ohio Casualty Insurance Company	301492	Agent - Property	12/19/2023
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	6/16/2022	12/17/2025
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	6/16/2022	12/17/2025
Active	Ohio Security Insurance Company	300622	Agent - Casualty	2/17/2025
Active	Ohio Security Insurance Company	300622	Agent - Property	2/17/2025
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/16/2022	12/17/2025
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/16/2022	12/17/2025
Active	Owners Insurance Company	300796	Agent - Casualty	5/20/2026
Active	Owners Insurance Company	300796	Agent - Property	5/20/2026
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/3/2007	3/1/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/3/2007	3/1/2011
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	5/24/2018
Active	SAFECO Insurance Company of America	300159	Agent - Property	5/24/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/10/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/10/2022
Active	Selective Insurance Company of America	500018	Agent - Casualty	5/14/2026
Active	Selective Insurance Company of America	500018	Agent - Property	5/14/2026
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	5/14/2026
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	5/14/2026
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	5/14/2026
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	5/14/2026
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	11/15/2005	3/1/2007
Inactive	State Farm General Insurance Company	301122	Agent - Property	11/15/2005	3/1/2007
Inactive	State Farm Life Insurance Company	301810	Agent - Life	9/11/2006	3/1/2007
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	11/15/2005	3/1/2007
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	9/11/2006	3/1/2007
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	5/12/2017	11/14/2021
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	5/12/2017	11/14/2021
Active	Trustgard Insurance Company	300104	Agent - Casualty	8/13/2015
Active	Trustgard Insurance Company	300104	Agent - Property	8/13/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/3/2007	3/1/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/3/2007	3/1/2011
Inactive	Union Security Insurance Company	301844	Agent - Health	11/30/2007	3/1/2011
Inactive	Union Security Insurance Company	301844	Agent - Life	11/30/2007	3/1/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/25/2008	12/15/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/25/2008	12/15/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/25/2008	12/15/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/25/2008	12/15/2009
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	2/6/2020	10/23/2024
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	2/6/2020	10/23/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	2/6/2020	10/23/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	2/6/2020	10/23/2024
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	6/15/2026
Active	Verlan Fire Insurance Company	517102	Agent - Property	6/15/2026
Active	West Bend Insurance Company	672974	Agent - Casualty	6/3/2026
Active	West Bend Insurance Company	672974	Agent - Property	6/3/2026
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/16/2022	12/16/2025
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/16/2022	12/16/2025
Inactive	Westfield Insurance Company	301950	Agent - Casualty	6/16/2022	4/24/2026
Inactive	Westfield Insurance Company	301950	Agent - Property	6/16/2022	4/24/2026
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	6/16/2022	4/24/2026
Inactive	Westfield National Insurance Company	301036	Agent - Property	6/16/2022	4/24/2026
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/16/2022	12/17/2025
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/16/2022	12/17/2025
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/16/2022	12/17/2025
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/16/2022	12/17/2025
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/16/2022	4/24/2026
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/16/2022	4/24/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	C K Ash & Associates Inc.	399142	Agent - Casualty	1/3/2018	4/24/2026
Inactive	C K Ash & Associates Inc.	399142	Agent - Property	1/3/2018	4/24/2026
Inactive	C K Ash & Associates Inc.	399142	Agent - Health	1/3/2018	5/11/2023
Inactive	C K Ash & Associates Inc.	399142	Agent - Life	1/3/2018	5/11/2023
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	7/7/2008	3/1/2011
Inactive	FSAB, LLC	576450	Agent - Health	3/12/2008	3/1/2011
Inactive	FSAB, LLC	576450	Agent - Life	3/12/2008	3/1/2011
Active	Northern Kentucky Insurance Agency Inc.	401088	Agent - Casualty	5/6/2026
Active	Northern Kentucky Insurance Agency Inc.	401088	Agent - Property	5/6/2026
Denied	Northern Kentucky Insurance Agency Inc.	401088	Agent - Health
Active	Northern Kentucky Insurance Agency Inc.	401088	Agent - Life	5/20/2026
Inactive	Schmidt Insurance Agency Inc.	400978	Agent - Casualty	8/13/2015	3/31/2022
Inactive	Schmidt Insurance Agency Inc.	400978	Agent - Property	8/13/2015	3/31/2022