PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameAmerican Benefits Insurance AgencyDOIID1088966NAIC NPN19577887
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentProperty9/30/20203/31/2024 
InactiveResidentAgentHealth7/13/20203/31/2024 
InactiveResidentAgentLife7/13/20203/31/2024 
InactiveResidentAgentCasualty9/30/20203/31/2024 
WithdrawnResidentAgentPersonal Lines   
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Casualty10/19/20203/31/2024
InactiveBristol West Insurance Company301655Agent - Property10/19/20203/31/2024
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/202212/28/2022
InactiveFamily Life Insurance Company300356Agent - Life9/22/20203/31/2024
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty10/19/202012/20/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property10/19/202012/20/2023
InactiveManhattanLife Insurance and Annuity Company301795Agent - Health9/22/20203/31/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/16/20223/27/2023
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/16/202212/22/2022
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/16/202212/28/2022
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHarris, Tabatha Marie 1057482Agent - Casualty9/30/20203/31/2024
InactiveHarris, Tabatha Marie 1057482Agent - Health7/13/20203/31/2024
InactiveHarris, Tabatha Marie 1057482Agent - Life7/13/20203/31/2024
InactiveHarris, Tabatha Marie 1057482Agent - Property9/30/20203/31/2024

© Commonwealth of Kentucky. All rights reserved.