DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Integrated Benefits Administrators Inc.	DOIID	397893	NAIC NPN	6062084

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	11/20/1997	2/1/2005
Inactive	Resident	Agent	Health	11/14/2001	2/1/2005
* 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	Continental Casualty Company	301019	Agent - Health	2/9/2004	2/1/2005
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	2/9/2004	2/1/2005
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/21/2004	2/1/2005
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	8/27/2004	2/1/2005
Inactive	Professional Insurance Company	301281	Agent - Health	10/7/2004	2/1/2005
Inactive	Transamerica Assurance Company	300893	Agent - Health	3/9/2004	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/9/2004	2/1/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/14/2001	3/1/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	2/9/2004	2/1/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burba, Wanda F	361786	Agent - Health	11/14/2001	2/1/2005
Inactive	Daniels, Richard William	347906	Agent - Health	11/14/2001	2/1/2005
Inactive	Faris, William Vincent	367351	Administrator - Not Applicable	11/20/1997	2/1/2005