DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirkpatrick, Susan Amber	DOIID	838220	NAIC NPN	5416864

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/11/2014	8/31/2023
Inactive	Non Resident	Agent	Life	4/11/2014	8/31/2023
* 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	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	2/19/2019	9/18/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/19/2019	3/20/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	11/21/2017	2/1/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/19/2019	6/7/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/1/2015	4/30/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/19/2019	9/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Catalyst360 LLC	652333	Agent - Health	3/12/2018	2/15/2019
Inactive	Golden Outlook Inc	904156	Agent - Life	1/15/2016	9/16/2019
Inactive	Golden Outlook Inc	904156	Agent - Health	1/15/2016	2/15/2019