DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fields, Kristen Nicole	DOIID	745165	NAIC NPN	16117205

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	1/21/2011	9/1/2019
Inactive	Resident	Agent	Life	2/1/2011	9/1/2019
* 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	Athene Annuity and Life Company	301893	Agent - Life	11/3/2011	9/30/2013
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/26/2015	4/21/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/26/2015	4/21/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/24/2011	6/18/2014
Inactive	Dental Care Plus Inc.	301495	Agent - Health	11/8/2012	9/1/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/24/2011	6/18/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/24/2011	6/18/2014
Inactive	Humana Insurance Company	301104	Agent - Health	5/24/2011	6/18/2014
Inactive	Humana Insurance Company	301104	Agent - Life	5/24/2011	6/18/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/24/2011	6/18/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/24/2011	6/18/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/2/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/2/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/24/2011	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/24/2011	4/25/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	2/18/2013	6/18/2014
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	2/18/2013	9/1/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	6/18/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	9/1/2019
Inactive	Sherrill D Morgan & Associates Inc.	398835	Agent - Life	6/17/2011	6/18/2014
Inactive	Sherrill D Morgan & Associates Inc.	398835	Agent - Health	6/17/2011	9/1/2019