DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kobyluck, Kristen	DOIID	850465	NAIC NPN	17358850

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/3/2014		9/30/2026
Active	Non Resident	Agent	Life	12/27/2022		9/30/2026
* 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	07/15/2024	09/30/2024	09/02/2024	09/02/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/15/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/4/2014	3/23/2016
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/15/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/26/2018	12/13/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/4/2014	12/10/2018
Active	Humana Insurance Company	301104	Agent - Health	9/4/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/4/2014	6/8/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	8/26/2019
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/29/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/4/2014	10/22/2015
Active	Lumico Life Insurance Company	300354	Agent - Life	1/26/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Health	12/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Trubridge Inc	717747	Agent - Health	3/6/2017