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.

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
Denied	Pool, Susan L	1066812	Agent - Health
Denied	Pool, Susan L	1066812	Agent - Life