DEPARTMENT OF INSURANCE

Affiliations

Name	Sutherland, Kim Marie	DOIID	668771	NAIC NPN	8080807

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/15/2013	9/30/2016
Inactive	Non Resident	Agent	Health	5/15/2013	9/30/2016
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/20/2009	5/11/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/20/2009	5/11/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/20/2009	5/11/2010
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	5/22/2013	9/30/2016
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	5/22/2013	9/30/2016
Inactive	American General Life Insurance Company	301585	Agent - Health	1/2/2008	3/11/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	1/2/2008	3/11/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/7/2013	9/30/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/7/2013	9/30/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/18/2013	9/30/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/18/2013	9/30/2016
Inactive	Humana Insurance Company	301104	Agent - Health	10/18/2013	9/30/2016
Inactive	Humana Insurance Company	301104	Agent - Life	10/18/2013	9/30/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/18/2013	9/30/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/18/2013	9/30/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/19/2008	3/17/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/19/2008	3/17/2010
Inactive	Independence American Insurance Company	524747	Agent - Health	11/17/2014	9/15/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/7/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/7/2013	10/22/2015
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	11/17/2014	9/15/2015
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	11/17/2014	9/15/2015
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	11/17/2014	9/15/2015
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	11/17/2014	9/15/2015
Inactive	Time Insurance Company	300683	Agent - Health	5/17/2013	10/21/2014
Inactive	Time Insurance Company	300683	Agent - Life	5/17/2013	10/21/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HBDC II, Inc	641352	Agent - Health	12/4/2007	3/17/2010
Inactive	HBDC II, Inc	641352	Agent - Life	12/4/2007	3/17/2010