DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bradford, Kim	DOIID	680633	NAIC NPN	967016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/15/2008	7/31/2017
Inactive	Non Resident	Agent	Health	5/15/2008	7/31/2017
* 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 Life Insurance Company	301209	Agent - Health	5/22/2008	7/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/22/2008	7/31/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/4/2014	5/4/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/4/2014	5/4/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/4/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	8/30/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/25/2014	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/25/2014	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/25/2014	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/13/2012	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/13/2012	8/30/2013
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/4/2015
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	7/31/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/25/2014	5/4/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/25/2014	5/4/2015
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	6/12/2012	1/23/2014
Inactive	Time Insurance Company	300683	Agent - Health	3/26/2013	7/31/2017
Inactive	Time Insurance Company	300683	Agent - Life	3/26/2013	7/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/22/2008	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/22/2008	6/20/2008
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	1/9/2012	7/31/2017
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	1/9/2012	7/31/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	7/31/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	7/31/2017