DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Conklin, Kimberly	DOIID	979995	NAIC NPN	16317917

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/9/2018		1/31/2025
Active	Non Resident	Agent	Life	12/21/2017		1/31/2025
Active	Non Resident	Agent	Property	3/9/2018		1/31/2025
Active	Non Resident	Agent	Health	12/21/2017		1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Continental American Insurance Company	301700	Agent - Health	3/13/2018
Active	Continental American Insurance Company	301700	Agent - Life	3/13/2018
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	4/8/2022	8/29/2023
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	4/8/2022	8/29/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/8/2022	8/29/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/8/2022	8/29/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits LLC	607080	Agent - Health	1/15/2019
Active	Mercer Health & Benefits LLC	607080	Agent - Life	1/15/2019
Inactive	Mercer Health & Benefits LLC	607080	Agent - Casualty	1/15/2019	3/18/2022
Inactive	Mercer Health & Benefits LLC	607080	Agent - Property	1/15/2019	3/18/2022