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	2/28/2025
Active	Resident	Agent	Property	7/16/2015	2/28/2025
Active	Resident	Agent	Life	9/25/2017	2/28/2025
Active	Resident	Agent	Casualty	7/16/2015	2/28/2025
* 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
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 Modern Select Insurance Company	581481	Agent - Casualty	5/12/2017	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/12/2017	11/14/2021
Active	American Select Insurance Company	301229	Agent - Casualty	6/16/2022
Active	American Select Insurance Company	301229	Agent - Property	6/16/2022
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	4/11/2022	10/25/2023
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	4/11/2022	10/25/2023
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	11/6/2017	5/11/2023
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	11/6/2017	5/11/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/30/2018
Active	Bristol West Insurance Company	301655	Agent - Property	1/30/2018
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
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
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
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	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
Active	Ohio Farmers Insurance Company	301667	Agent - Casualty	6/16/2022
Active	Ohio Farmers Insurance Company	301667	Agent - Property	6/16/2022
Active	Old Guard Insurance Company	533854	Agent - Casualty	6/16/2022
Active	Old Guard Insurance Company	533854	Agent - Property	6/16/2022
Inactive	Owners Insurance Company	300796	Agent - Casualty	4/11/2022	10/25/2023
Inactive	Owners Insurance Company	300796	Agent - Property	4/11/2022	10/25/2023
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
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
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
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	2/6/2020
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Property	2/6/2020
Active	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	2/6/2020
Active	Unitrin Safeguard Insurance Company	301371	Agent - Property	2/6/2020
Active	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/16/2022
Active	Westfield Champion Insurance Company	1054839	Agent - Property	6/16/2022
Active	Westfield Insurance Company	301950	Agent - Casualty	6/16/2022
Active	Westfield Insurance Company	301950	Agent - Property	6/16/2022
Active	Westfield National Insurance Company	301036	Agent - Casualty	6/16/2022
Active	Westfield National Insurance Company	301036	Agent - Property	6/16/2022
Active	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/16/2022
Active	Westfield Premier Insurance Company	1055055	Agent - Property	6/16/2022
Active	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/16/2022
Active	Westfield Superior Insurance Company	1054978	Agent - Property	6/16/2022
Active	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/16/2022
Active	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/16/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	C K Ash & Associates Inc.	399142	Agent - Casualty	1/3/2018
Active	C K Ash & Associates Inc.	399142	Agent - Property	1/3/2018
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
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