DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Baker, Kathleen F	DOIID	648857	NAIC NPN	9065701

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/15/2008	3/1/2022
Inactive	Resident	Agent	Life	4/15/2008	3/1/2022
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/15/2008	3/6/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/15/2008	3/6/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/6/2017	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/6/2017	10/5/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	4/19/2017	10/5/2021
Inactive	Park Hill Shoppe Inc	630289	Agent - Health	5/5/2008	10/5/2021
Inactive	Park Hill Shoppe Inc	630289	Agent - Life	5/5/2008	10/5/2021