DEPARTMENT OF INSURANCE

Affiliations

Name	Scalzitti, Kimberly S	DOIID	656544	NAIC NPN	1467040

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/31/2007	7/31/2019
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2007	7/31/2019
Inactive	Non Resident	Agent	Health	5/31/2007	7/31/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	6/12/2008	9/30/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/12/2008	9/30/2011
Inactive	CMFG Life Insurance Company	300929	Agent - Health	3/14/2018	3/14/2019
Inactive	CMFG Life Insurance Company	300929	Agent - Life	3/14/2018	3/14/2019
Inactive	CMFG Life Insurance Company	300929	Agent - Variable Life and Variable Annuities	3/14/2018	3/14/2019
Inactive	MEMBERS Life Insurance Company	301289	Agent - Health	3/14/2018	3/14/2019
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	3/14/2018	3/14/2019
Inactive	MEMBERS Life Insurance Company	301289	Agent - Variable Life and Variable Annuities	3/14/2018	3/14/2019
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	7/12/2007	4/7/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Cetera Investment Services LLC	398143	Agent - Life
Denied	Cetera Investment Services LLC	398143	Agent - Health
Denied	Cetera Investment Services LLC	398143	Agent - Variable Life and Variable Annuities
Inactive	Vision Investment Services Inc	520322	Agent - Life	7/12/2007	10/28/2011
Inactive	Vision Investment Services Inc	520322	Agent - Health	2/18/2011	10/28/2011
Inactive	Vision Investment Services Inc	520322	Agent - Variable Life and Variable Annuities	2/18/2011	10/28/2011