DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bartlett, Kevin David	DOIID	895194	NAIC NPN	10028787

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/13/2015	12/31/2017
Inactive	Non Resident	Agent	Life	10/13/2015	12/31/2017
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/19/2016	11/3/2016
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	8/30/2016	12/31/2017
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Life	8/30/2016	12/31/2017
Inactive	Loyal Christian Benefit Association	300958	Agent - Health	9/6/2016	12/31/2017
Inactive	RiverLink Health of Kentucky, Inc.	834205	Agent - Health	10/15/2015	5/4/2017
Inactive	Security National Life Insurance Company	569786	Agent - Life	2/3/2017	6/27/2017
Inactive	StableView Health, Inc.	834204	Agent - Health	10/15/2015	2/9/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/21/2016	11/2/2016