DEPARTMENT OF INSURANCE

Affiliations

Name	Hellebusch, Arthur Atherton	DOIID	331308	NAIC NPN	562346

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	2/18/2004	4/30/2020
Inactive	Resident	Agent	Life	5/14/1982	5/1/2016
Inactive	Resident	Agent	Health	3/12/1984	5/1/2016
Inactive	Resident	Agent	Health Maintenance Organization	11/4/1988	3/1/2001
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	9/26/1995	1/28/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/26/1995	1/28/2010
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	4/22/1996	3/24/2003
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	4/22/1996	3/24/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/10/1997	5/9/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/10/1997	5/9/2003
Inactive	American General Life Insurance Company	301585	Agent - Health	7/15/2002	9/17/2007
Inactive	American General Life Insurance Company	301585	Agent - Life	7/15/2002	3/4/2005
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	5/18/2006	5/1/2016
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	5/18/2006	5/1/2016
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	11/26/2001
Inactive	American United Life Insurance Company	300498	Agent - Health	1/14/2004	5/1/2016
Inactive	American United Life Insurance Company	300498	Agent - Life	1/14/2004	5/1/2016
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	11/1/2011	12/31/2012
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	11/1/2011	12/31/2012
Inactive	Assurity Life Insurance Company	301099	Agent - Health	3/16/2000	1/24/2003
Inactive	Assurity Life Insurance Company	301099	Agent - Life	3/16/2000	1/24/2003
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	5/14/2001	11/23/2004
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	5/14/2001	11/23/2004
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	8/21/1990	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	8/21/1990	12/31/2001
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/10/2011	8/21/2014
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	2/5/2007	12/22/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	2/5/2007	12/22/2011
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	5/15/1997	5/1/2016
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	5/15/1997	5/1/2016
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	11/14/2014	5/1/2016
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	5/1/2016
Inactive	Canada Life Assurance Company	301192	Agent - Health	4/24/2000	9/18/2003
Inactive	Canada Life Assurance Company	301192	Agent - Life	4/24/2000	9/18/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/7/1987	3/29/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/7/1987	3/29/2006
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/21/2012	12/5/2014
Inactive	Dental Care Plus Inc.	301495	Agent - Health	2/17/2006	5/1/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2002	7/7/2015
Inactive	DentiCare, Inc.	300655	Agent - Health	9/11/2002	11/1/2005
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	7/21/1992	11/10/2003
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	7/21/1992	11/10/2003
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	8/4/1992	10/28/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	8/4/1992	10/28/2008
Inactive	First Colony Life Insurance Company	301179	Agent - Health	2/28/2000	7/19/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/28/2000	7/19/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	3/29/2001	12/24/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	3/29/2001	12/24/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	10/21/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	10/21/2009	12/7/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/2/1998	11/22/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/2/1998	11/22/2000
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/5/2007	5/10/2016
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/5/2007	5/10/2016
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/16/2004	5/30/2016
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/16/2004	5/30/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	7/7/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	9/2/1997	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	12/23/1997	7/7/2015
Inactive	Humana Insurance Company	301104	Agent - Life	12/23/1997	7/7/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/21/2012	7/7/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/21/2012	7/7/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	5/13/2013
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	12/3/1991	8/22/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	12/3/1991	8/22/1996
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/20/2009	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/21/2009	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	3/1/2007	5/28/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	3/1/2007	5/28/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	4/25/2013
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	4/15/1998	5/1/2016
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	4/15/1998	5/1/2016
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	8/13/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	8/13/2003
Inactive	LifeUSA Insurance Company	300386	Agent - Health	9/26/1995	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	9/26/1995	8/2/2002
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/3/1997	4/23/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/3/1997	4/23/2004
Inactive	MBL Life Assurance Corporation	301299	Agent - Life	5/14/1982	7/12/1999
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	10/10/1988	5/1/2016
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	10/10/1988	5/1/2016
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	10/29/2009	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	10/29/2009	11/14/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/14/2009	12/11/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/14/2009	12/11/2012
Inactive	Midland National Life Insurance Company	300923	Agent - Health	9/15/2009	10/26/2010
Inactive	Midland National Life Insurance Company	300923	Agent - Life	9/15/2009	10/26/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/17/1996	5/1/2016
Inactive	Nassau Life Insurance Company	301406	Agent - Health	3/14/2002	12/14/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	3/14/2002	12/14/2004
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	3/11/1997	3/31/2003
Inactive	PHL Variable Insurance Company	300525	Agent - Health	3/14/2002	1/31/2013
Inactive	PHL Variable Insurance Company	300525	Agent - Life	3/14/2002	5/10/2006
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	2/24/1997	12/7/2006
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	2/24/1997	12/7/2006
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	7/23/1997	5/27/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	7/23/1997	5/27/2005
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/2/1987	5/1/2016
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/2/1987	5/1/2016
Inactive	Professional Insurance Company	301281	Agent - Health	4/15/1998	5/1/2016
Inactive	Professional Insurance Company	301281	Agent - Life	4/15/1998	5/1/2016
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/23/1996	12/29/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/23/1996	12/29/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/12/1984	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/12/1984	9/9/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Health	11/22/2006	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/22/2006	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Health	8/4/1997	12/17/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Life	8/4/1997	12/17/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/12/1996	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/12/1996	1/2/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	6/29/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/26/2006	2/27/2016
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	3/10/1999	5/1/2016
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	3/10/1999	5/1/2016
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/26/2006	9/29/2012
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	3/22/1999	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	3/22/1999	10/1/2003
Inactive	Standard Insurance Company	300185	Agent - Health	3/19/2001	5/1/2016
Inactive	Standard Insurance Company	300185	Agent - Life	3/19/2001	5/1/2016
Inactive	Symetra Life Insurance Company	301691	Agent - Health	5/7/1997	12/30/2010
Inactive	Symetra Life Insurance Company	301691	Agent - Life	5/7/1997	12/30/2010
Inactive	Time Insurance Company	300683	Agent - Health	8/27/2001	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	8/27/2001	12/20/2014
Inactive	Transamerica Assurance Company	300893	Agent - Health	6/21/2000	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	6/21/2000	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/30/2004	5/1/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/30/2004	5/1/2016
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/8/1998	12/31/1998
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/8/1998	12/31/1998
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	5/15/1996	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/4/2003	9/27/2007
Inactive	Union Central Life Insurance Company	300307	Agent - Health	7/13/2000	7/1/2014
Inactive	Union Central Life Insurance Company	300307	Agent - Life	7/13/2000	7/1/2014
Inactive	Union Security Insurance Company	301844	Agent - Health	10/1/1991	5/1/2016
Inactive	Union Security Insurance Company	301844	Agent - Life	10/1/1991	5/1/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/17/1996	5/1/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/17/1996	5/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/9/2005	5/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/9/2005	5/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/9/2005	5/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	10/13/1998	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/9/2005	5/1/2016
Inactive	West Coast Life Insurance Company	301607	Agent - Life	10/12/2006	11/16/2011
Inactive	Wilco Life Insurance Company	300122	Agent - Health	12/14/1994	5/19/2009
Inactive	Wilco Life Insurance Company	300122	Agent - Life	12/14/1994	5/19/2009
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	7/9/1996	5/30/2000
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	7/9/1996	5/30/2000
Inactive		300277	Agent - Health	1/12/1996	12/31/1998
Inactive		300277	Agent - Life	1/12/1996	12/31/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Correctcare-Integrated Health LLC	582737	Administrator - Not Applicable	2/18/2004	4/30/2020
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	12/13/2001	5/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/16/2013	5/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/16/2013	5/1/2016
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Insuranceworks Inc.	399819	Agent - Life	11/4/1988	5/1/2016
Inactive	Insuranceworks Inc.	399819	Agent - Health	11/4/1988	5/1/2016
Inactive	Insuranceworks Inc.	399819	Agent - Health Maintenance Organization	11/4/1988	3/1/2001
Inactive	Planchoice Inc.	400482	Agent - Health	4/17/2014	5/1/2016