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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

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