DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	De Boer, Tara Kim	DOIID	1160011	NAIC NPN	7258758

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/12/2023		5/31/2026
Active	Non Resident	Agent	Life	4/12/2023		5/31/2026
Active	Non Resident	Agent	Property	4/12/2023		5/31/2026
Active	Non Resident	Agent	Casualty	4/12/2023		5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/17/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/15/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	4/17/2023
Active	American General Life Insurance Company	301585	Agent - Health	1/10/2024
Active	American General Life Insurance Company	301585	Agent - Life	1/10/2024
Active	Independence American Insurance Company	524747	Agent - Casualty	1/14/2025
Active	Independence American Insurance Company	524747	Agent - Property	1/14/2025
Active	SilverScript Insurance Company	663526	Agent - Health	4/17/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hub International Mountain States Limited	679129	Agent - Life	11/30/2022	1/5/2023
Inactive	Hub International Mountain States Limited	679129	Agent - Health	11/30/2022	1/5/2023
Active	IMA Inc	766098	Agent - Life	9/25/2025
Active	IMA Inc	766098	Agent - Casualty	9/25/2025
Active	IMA Inc	766098	Agent - Property	9/25/2025