DEPARTMENT OF INSURANCE

Affiliations

Name	Kirby, Carmen	DOIID	829044	NAIC NPN	16773624

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	12/6/2013		9/30/2024
* 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
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	12/2/2020
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/2/2020
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	12/2/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/11/2017	10/23/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	2/21/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/10/2013	3/14/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/12/2019	10/23/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/10/2013	10/23/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	10/23/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/3/2018	10/23/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/10/2013	10/23/2023
Inactive	Humana Insurance Company	301104	Agent - Health	12/10/2013	10/23/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/10/2013	10/23/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	10/23/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	10/23/2023
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/10/2013	10/22/2015
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	12/2/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/15/2020	2/21/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	12/15/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/15/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/15/2020	2/21/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/6/2015	3/14/2024