DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Breiman, Karsyn Dorothy	DOIID	911354	NAIC NPN	17631037

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/18/2024		3/31/2027
Active	Non Resident	Agent	Health	7/18/2024		3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/7/2016	10/23/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/7/2016	10/23/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/27/2016	3/31/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/27/2016	3/31/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/27/2016	3/31/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/27/2016	3/31/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/24/2016	4/30/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/24/2016	4/30/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/24/2016	4/30/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/24/2016	4/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Yourpeople Inc	844313	Agent - Life	5/31/2016	3/2/2018
Inactive	Yourpeople Inc	844313	Agent - Health	5/31/2016	3/2/2018