DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Employee Benefit Management Corp	DOIID	395788	NAIC NPN	963749

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	8/14/2019		3/31/2026
Inactive	Non Resident	Agent	Health	8/30/2013	8/6/2014
Inactive	Non Resident	Agent	Life	8/30/2013	8/6/2014
* 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	HCC Life Insurance Company	301827	Agent - Health	12/23/2013	8/6/2014
Inactive	HCC Life Insurance Company	301827	Agent - Life	12/23/2013	8/6/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/11/2013	8/6/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/11/2013	8/6/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/17/2013	8/6/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/17/2013	8/6/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/17/2013	8/6/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/17/2013	8/6/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Handley, Bobby Joe	1048063	Administrator - Not Applicable	8/14/2019
Denied	OChall, Robert W	591372	Agent - Health
Denied	OChall, Robert W	591372	Agent - Life
Inactive	Patrick, Kenneth	725261	Administrator - Not Applicable	6/12/2013	5/31/2015
Inactive	Weatherholt, William O	365326	Administrator - Not Applicable	3/26/1992	3/22/2011
Inactive	Wrobleski, Christopher Andrew	303411	Administrator - Not Applicable	2/22/1995	2/28/2005