DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	George C. Kirk & Associates, LLC	DOIID	639937	NAIC NPN	8937454

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/28/2008	3/31/2016
Inactive	Resident	Agent	Life	10/28/2008	3/31/2016
* 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	10/6/2006	3/31/2008
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/6/2006	3/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/6/2006	3/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/6/2006	3/31/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/10/2008	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/10/2008	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/10/2008	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/10/2008	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/10/2008	8/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/22/2010	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/22/2010	2/23/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kirk, George C	304910	Agent - Health	10/28/2008	3/31/2016
Inactive	Kirk, George C	304910	Agent - Life	10/28/2008	3/31/2016
Inactive	Kirk, Harrison Smith	634553	Agent - Health	2/16/2011	7/31/2013
Inactive	Kirk, Harrison Smith	634553	Agent - Life	1/29/2007	4/4/2007