DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Kimberly Mitchell	DOIID	624371	NAIC NPN	8661543

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/20/2006	10/31/2010
Inactive	Non Resident	Agent	Health	10/3/2014	10/31/2020
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/29/2017	10/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/27/2015	10/31/2020
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	2/1/2006	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	2/1/2006	3/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/1/2017	10/31/2020