DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clarke, Kathleen Helen	DOIID	801831	NAIC NPN	1907650

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/19/2013	5/23/2013
Inactive	Non Resident	Agent	Property	1/19/2013	5/23/2013
Inactive	Non Resident	Agent	Life	10/26/2015	1/31/2018
Inactive	Non Resident	Agent	Health	10/26/2015	1/31/2018
* 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	11/3/2015	1/31/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/3/2015	1/31/2018
Inactive	Combined Insurance Company of America	301472	Agent - Health	6/15/2016	1/31/2018
Inactive	Combined Insurance Company of America	301472	Agent - Life	6/15/2016	1/31/2018
Inactive	Companion Life Insurance Company	300191	Agent - Health	2/25/2016	1/31/2018
Inactive	Companion Life Insurance Company	300191	Agent - Life	2/25/2016	1/31/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/28/2013	5/23/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/28/2013	5/23/2013
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	1/28/2013	5/23/2013
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	1/28/2013	5/23/2013
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	1/28/2013	5/23/2013
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	1/28/2013	5/23/2013
Inactive	National Health Insurance Company	300554	Agent - Health	9/9/2016	1/31/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	12/10/2015	1/31/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	12/10/2015	1/31/2018
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	2/22/2016	11/10/2016
Inactive	Time Insurance Company	300683	Agent - Health	11/6/2015	1/31/2018
Inactive	Time Insurance Company	300683	Agent - Life	11/6/2015	1/31/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/1/2015	2/14/2017

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	11/3/2015	1/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/3/2015	1/31/2018