DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carey, Kristin Ann	DOIID	834986	NAIC NPN	16529744

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/28/2014		10/31/2026
Active	Non Resident	Agent	Health	2/28/2014		10/31/2026
* 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	08/15/2024	10/31/2024	08/19/2024	08/19/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/4/2014	12/5/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/4/2014	12/5/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/9/2016	4/8/2017
Active	Golden Rule Insurance Company	301943	Agent - Health	3/13/2014
Active	Golden Rule Insurance Company	301943	Agent - Life	3/13/2014
Inactive	HCC Life Insurance Company	301827	Agent - Health	4/22/2015	10/3/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/9/2016	4/8/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/9/2016	4/8/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/9/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/9/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	9/9/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/9/2016	4/8/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/9/2016	4/8/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/9/2016	4/8/2017
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/4/2016	10/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Benefit Services Inc	525782	Agent - Health	4/15/2024
Active	Gallagher Benefit Services Inc	525782	Agent - Life	4/15/2024