DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ima Executive Benefits And Life Insurance LLC	DOIID	1432318	NAIC NPN	21755550

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/31/2025		3/31/2027
Active	Non Resident	Agent	Health	10/31/2025		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
Active	Symetra Life Insurance Company	301691	Agent - Health	3/5/2026
Active	Symetra Life Insurance Company	301691	Agent - Life	3/5/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Bowersox, Abigail Jeanne	1401170	Agent - Health
Denied	Bowersox, Abigail Jeanne	1401170	Agent - Life
Denied	Buden, Blake Michael	1358266	Agent - Health
Inactive	Buden, Blake Michael	1358266	Agent - Life	11/26/2025	12/22/2025
Active	Gregg, Michael Shane	1370269	Agent - Health	10/31/2025
Active	Gregg, Michael Shane	1370269	Agent - Life	10/31/2025
Pending	Patton, William Samuel	1466863	Agent - Health
Pending	Patton, William Samuel	1466863	Agent - Life
Denied	Pool, Susan L	1066812	Agent - Health
Denied	Pool, Susan L	1066812	Agent - Life