DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ross, Karen June	DOIID	687019	NAIC NPN	11457825

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	7/6/2009	12/1/2017
Inactive	Resident	Agent	Life	10/7/2008	12/1/2017
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/20/2009	4/9/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/26/2009	8/10/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/26/2009	8/10/2010
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/7/2008	4/27/2010
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	3/12/2010	1/9/2012
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	3/12/2010	1/9/2012
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	7/2/2014	4/19/2016
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	7/2/2014	4/19/2016
Inactive	Time Insurance Company	300683	Agent - Health	1/3/2012	2/29/2012
Inactive	Time Insurance Company	300683	Agent - Life	1/3/2012	2/29/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/3/2012	12/30/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/3/2012	12/30/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/3/2012	12/30/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/3/2012	12/30/2014
Inactive	United American Insurance Company	300910	Agent - Health	12/1/2010	8/31/2011
Inactive	United American Insurance Company	300910	Agent - Life	12/1/2010	8/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/12/2009	8/10/2010
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/12/2009	8/10/2010