DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirk, Pamela Ann	DOIID	634994	NAIC NPN	1645823

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/28/2006	2/28/2014
Inactive	Non Resident	Agent	Health	6/28/2006	2/28/2014
* 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	Kanawha Insurance Company	300127	Agent - Health	12/18/2012	2/28/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/18/2012	2/28/2014
Inactive	Omaha Insurance Company	751908	Agent - Health	5/7/2012	12/19/2012
Inactive	Securian Life Insurance Company	300757	Agent - Health	7/13/2006	8/14/2012
Inactive	Securian Life Insurance Company	300757	Agent - Life	7/13/2006	8/14/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	1/13/2010	6/26/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	1/13/2010	6/26/2012
Inactive	Wells Fargo Insurance Services of Indiana, LLC	524976	Agent - Health	8/28/2006	3/12/2010
Inactive	Wells Fargo Insurance Services of Indiana, LLC	524976	Agent - Life	8/28/2006	3/12/2010