DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Romer, Kim B	DOIID	652554	NAIC NPN	9150959

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/31/2007	5/1/2013
Inactive	Resident	Agent	Health	7/26/2007	5/1/2013
* 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	UnitedHealthcare Insurance Company	300946	Agent - Health	7/20/2010	5/1/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/20/2010	5/1/2013
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/20/2010	5/1/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/20/2010	5/1/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Business Benefits Inc	400111	Agent - Health	8/31/2010	5/1/2013
Inactive	Business Benefits Inc	400111	Agent - Life	8/31/2010	5/1/2013