DEPARTMENT OF INSURANCE

Affiliations

Name	Kirk, Michael D	DOIID	658598	NAIC NPN	6555098

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	6/28/2007	6/30/2008
Inactive	Non Resident	Agent	Health	9/27/2011	6/30/2018
Inactive	Non Resident	Agent	Life	8/22/2013	6/30/2018
Inactive	Non Resident	Agent	Casualty	6/28/2007	6/30/2008
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/10/2014	6/25/2016
Inactive	Aetna Health Insurance Company	301583	Agent - Health	10/10/2014	7/24/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/10/2014	6/25/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/10/2014	6/25/2016
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	7/9/2007	12/5/2007
Inactive	Allstate Indemnity Company	300778	Agent - Property	7/9/2007	1/16/2008
Inactive	Allstate Insurance Company	300773	Agent - Casualty	7/9/2007	12/6/2007
Inactive	Allstate Insurance Company	300773	Agent - Property	7/9/2007	12/6/2007
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	7/9/2007	1/16/2008
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	7/9/2007	1/16/2008
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/4/2013	6/30/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/3/2014	6/30/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/3/2014	6/30/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/10/2014	6/25/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	3/23/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/23/2014	3/23/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/23/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Health	9/23/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Life	9/23/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/23/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/23/2014	3/23/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	3/23/2016
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	10/14/2014	2/10/2016
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	6/16/2014	8/7/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/19/2017	11/22/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/19/2017	11/22/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/7/2014	9/3/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/7/2014	9/3/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	10/2/2013	10/15/2013
Denied	Alorica Customer Care, Inc.	800938	Agent - Life
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/4/2013	6/30/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/3/2014	6/30/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	10/27/2016	10/19/2017
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	10/27/2016	10/19/2017