DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gildersleeve, Kim Denise	DOIID	1159463	NAIC NPN	3373996

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/16/2021	10/31/2023
Inactive	Non Resident	Agent	Health	9/16/2021	10/31/2023
* 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	Provident Life and Accident Insurance Company	301525	Agent - Health	9/22/2021	10/31/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/22/2021	10/31/2023
Inactive	Starmount Life Insurance Company	628031	Agent - Health	9/22/2021	10/31/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/22/2021	10/31/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/22/2021	10/31/2023
Inactive	Unum Insurance Company	301499	Agent - Health	9/22/2021	10/31/2023
Inactive	Unum Insurance Company	301499	Agent - Life	9/22/2021	10/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Life	10/28/2021	12/8/2022
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Health	10/28/2021	12/8/2022