DEPARTMENT OF INSURANCE

Affiliations

Name	King, Carla J	DOIID	767160	NAIC NPN	16439938

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	2/28/2012	4/1/2017
Inactive	Resident	Agent	Health	1/12/2012	4/1/2017
Inactive	Resident	Agent	Property	1/9/2012	4/1/2017
Inactive	Resident	Agent	Casualty	1/9/2012	4/1/2017
* 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 - Health	8/16/2012	3/31/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/16/2012	3/31/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/10/2014	4/1/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/10/2014	4/1/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/10/2014	4/1/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/10/2014	4/1/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/10/2014	4/1/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/10/2014	4/1/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/2/2013	4/1/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/2/2013	4/1/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/18/2012	4/13/2015
Inactive	Continental American Insurance Company	301700	Agent - Health	8/22/2012	12/20/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	8/22/2012	12/20/2016
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/19/2013	11/22/2016
Inactive	Dairyland Insurance Company	301370	Agent - Property	2/19/2013	11/22/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/18/2012	4/13/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/2/2013	4/1/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/2/2013	4/1/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/2/2013	9/15/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/2/2013	9/15/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/2/2013	9/15/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/2/2013	9/15/2014
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/8/2014	3/12/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/8/2014	3/12/2015
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/8/2014	3/12/2015
Inactive	Grange Insurance Company	300234	Agent - Property	5/8/2014	3/12/2015
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/8/2014	3/12/2015
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/8/2014	3/12/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	5/8/2014	3/12/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	5/8/2014	3/12/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/13/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/18/2012	4/13/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/18/2012	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/22/2013	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/22/2013	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/18/2012	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/18/2012	4/13/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/13/2015
Inactive	Infinity Insurance Company	300416	Agent - Casualty	2/4/2014	4/1/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/18/2012	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/18/2012	4/13/2015
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	7/8/2015	8/17/2015
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	7/8/2015	8/17/2015
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	7/8/2015	8/17/2015
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/15/2012	5/16/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/15/2012	5/16/2014
Inactive	Reserve National Insurance Company	301073	Agent - Health	9/24/2013	12/15/2014
Inactive	Reserve National Insurance Company	301073	Agent - Life	9/24/2013	12/15/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/30/2013	10/13/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/30/2013	10/13/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/30/2013	10/13/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/30/2013	10/13/2014
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	9/8/2014	5/11/2015
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	9/8/2014	5/11/2015
Denied	State Farm Fire and Casualty Company	301809	Agent - Casualty
Denied	State Farm Fire and Casualty Company	301809	Agent - Property
Denied	State Farm Life Insurance Company	301810	Agent - Life
Denied	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty
Denied	State Farm Mutual Automobile Insurance Company	301732	Agent - Health
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	8/27/2012	12/19/2014
Inactive	Time Insurance Company	300683	Agent - Health	4/6/2012	8/7/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/18/2012	10/6/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/18/2012	10/6/2014
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/8/2014	3/12/2015
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/8/2014	3/12/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/9/2012	8/22/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/9/2012	8/22/2014

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	9/24/2012	12/20/2016
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	9/24/2012	12/20/2016
Inactive	Commonwealth Benefit Administrators Llc	705133	Agent - Casualty	1/30/2013	7/21/2014
Inactive	Commonwealth Benefit Administrators Llc	705133	Agent - Property	1/30/2013	7/21/2014
Inactive	Commonwealth Benefit Administrators Llc	705133	Agent - Life	12/6/2012	7/21/2014
Inactive	Commonwealth Benefit Administrators Llc	705133	Agent - Health	12/6/2012	7/21/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	5/13/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	5/13/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/25/2014	5/7/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/25/2014	5/7/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/25/2014	5/7/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/25/2014	5/7/2015