DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gittens, Kimberly A	DOIID	704936	NAIC NPN	2175010

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/11/2009	6/30/2011
Inactive	Non Resident	Agent	Life	5/11/2009	6/30/2011
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	5/29/2009	6/30/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/29/2009	6/30/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/30/2009	6/30/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/30/2009	6/30/2011

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 - Health	5/29/2009	6/30/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/29/2009	6/30/2011