DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gustafson, Kaitlyn Marie	DOIID	1396571	NAIC NPN	21501768

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/23/2025		12/31/2026
Active	Non Resident	Agent	Life	4/23/2025		12/31/2026
* 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	10/15/2026	12/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	4/28/2025	10/16/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	4/28/2025	10/16/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	10/18/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	10/18/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	4/28/2025	10/16/2025
Inactive	Ushealth Advisors Llc	713288	Agent - Health	4/28/2025	10/16/2025