DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hiatt, Kimberly Marie	DOIID	794060	NAIC NPN	15887762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	10/10/2012		4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthScope Benefits, Inc.	524098	Administrator - Not Applicable	11/17/2020
Inactive	Pomco, Inc	625597	Administrator - Not Applicable	8/23/2018	7/7/2020
Active	UMR, Inc.	513551	Administrator - Not Applicable	10/10/2012