DEPARTMENT OF INSURANCE

Affiliations

Name	Kirkpatrick, Samuel Kenneth	DOIID	772981	NAIC NPN	16199876

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	1/19/2012	12/31/2015
Inactive	Non Resident	Agent	Health	1/19/2012	12/31/2015
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/15/2012	12/31/2015
Inactive	Aetna Health Insurance Company	301583	Agent - Health	6/15/2012	12/31/2015
Inactive	Aetna Health Insurance Company	301583	Agent - Life	6/15/2012	12/31/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/15/2012	12/31/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/15/2012	12/31/2015
Inactive	American Continental Insurance Company	643130	Agent - Health	12/1/2014	12/31/2015
Inactive	American Continental Insurance Company	643130	Agent - Life	12/1/2014	12/31/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	4/14/2014	12/18/2014
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	4/14/2014	12/18/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/1/2013	12/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/1/2013	12/31/2015
Inactive	Combined Insurance Company of America	301472	Agent - Health	10/18/2012	12/31/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	5/20/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/27/2012	12/31/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/27/2012	12/31/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/10/2012	5/20/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/20/2012	12/31/2015
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/19/2012	12/31/2015
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/19/2012	12/31/2015
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	2/3/2012	10/22/2014
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	2/3/2012	10/22/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/28/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	5/28/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/10/2012	7/16/2015
Inactive	Humana Insurance Company	301104	Agent - Health	2/3/2012	7/16/2015
Inactive	Humana Insurance Company	301104	Agent - Life	2/3/2012	7/16/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/10/2012	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/10/2012	5/28/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/28/2015
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	8/5/2014	9/4/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/4/2012	5/22/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	10/27/2014	12/22/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/4/2012	5/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/4/2012	5/22/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/7/2012	4/10/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/7/2012	4/10/2015

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	5/3/2013	12/31/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/3/2013	12/31/2015