DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Palm, Kathryn A	DOIID	700180	NAIC NPN	663984

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/22/2009		10/31/2026
Active	Non Resident	Agent	Life	2/22/2009		10/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024	09/16/2024	09/16/2024	Yes

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	3/18/2009	6/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/18/2009	6/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/18/2009	6/30/2022
Active	Prudential Insurance Company of America	300784	Agent - Health	5/16/2019
Active	Prudential Insurance Company of America	300784	Agent - Life	5/16/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Life	2/22/2019
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Health	2/22/2019
Inactive	Willis of Minnesota, Inc.	569739	Agent - Life	8/30/2017	1/17/2019
Inactive	Willis of Minnesota, Inc.	569739	Agent - Health	8/30/2017	1/17/2019