DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirpalani, Shivan	DOIID	1068154	NAIC NPN	19366041

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/12/2019	2/11/2022
Inactive	Non Resident	Agent	Life	12/12/2019	2/11/2022
* 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	Bankers Fidelity Life Insurance Company	300193	Agent - Health	6/7/2021	12/1/2021
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	6/7/2021	12/1/2021
Inactive	C.M. Life Insurance Company	301335	Agent - Life	11/19/2020	2/11/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	4/13/2021	8/23/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Health	8/18/2020	2/11/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/18/2020	2/11/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/16/2020	11/25/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/6/2020	2/11/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/6/2020	2/11/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	1/16/2020	9/20/2021
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	1/6/2020	9/20/2021