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DEPARTMENT OF INSURANCE
Affiliations
Name
Kluempke, Kelly
DOIID
846885
NAIC NPN
17333584
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
8/5/2014
5/31/2020
Inactive
Resident
Agent
Health
8/5/2014
5/31/2020
Inactive
Resident
Agent
Limited Line Credit
10/27/2014
5/31/2020
* 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
Forethought Life Insurance Company
301407
Agent - Health
9/3/2017
5/31/2020
Inactive
Forethought Life Insurance Company
301407
Agent - Life
9/3/2017
5/31/2020
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Limited Line Credit
10/31/2014
5/31/2020
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
CBIA
527160
Agent - Life
Denied
CBIA
527160
Agent - Health
Inactive
Central Bank & Trust Company
398350
Agent - Limited Line Credit
11/6/2014
2/14/2020
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