DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	King, Kerry	DOIID	638055	NAIC NPN	6541493

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/23/2006	4/30/2021
Inactive	Non Resident	Agent	Life	8/23/2006	4/30/2021
* 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	AXIS Insurance Company	301290	Agent - Health	1/18/2012	4/30/2021
Inactive	Hartford Fire Insurance Company	300628	Agent - Health	4/4/2018	4/30/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/19/2007	5/14/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/19/2007	5/14/2021
Inactive	Life Insurance Company of North America	300711	Agent - Health	9/13/2007	1/19/2021
Inactive	Life Insurance Company of North America	300711	Agent - Life	9/13/2007	1/19/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	12/18/2013	4/30/2021
Inactive	Prudential Insurance Company of America	300784	Agent - Health	3/14/2016	4/30/2021
Inactive	Prudential Insurance Company of America	300784	Agent - Life	3/14/2016	4/30/2021
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	11/18/2009	4/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	2/22/2007	4/30/2021
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	2/22/2007	4/30/2021