DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Myatt, Kimberly Dawn	DOIID	621411	NAIC NPN	8665116

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Limited Line Credit	2/20/2014	1/31/2021
Inactive	Resident	Agent	Life	7/1/2014	1/31/2021
* 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	Forethought Life Insurance Company	301407	Agent - Life	9/25/2015	1/31/2021
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	2/27/2014	1/31/2021
Inactive	Standard Insurance Company	300185	Agent - Life	1/17/2015	1/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBIA	527160	Agent - Life	1/17/2015	1/31/2021
Inactive	Central Bank & Trust Company	398350	Agent - Limited Line Credit	3/5/2014	3/23/2020