DEPARTMENT OF INSURANCE

Affiliations

Name	Integrated Benefits Inc.	DOIID	398502	NAIC NPN	3487662

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/14/2004	3/31/2020
Inactive	Resident	Agent	Health Maintenance Organization	12/28/1988	3/1/2001
Inactive	Resident	Agent	Life	6/14/2004	3/31/2020
Inactive	Resident	Agent	Prepaid Dental Plan	3/9/1989	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	American Bankers Life Assurance Company of Florida	300171	Agent - Health	5/8/1995	10/21/1998
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	5/8/1995	10/21/1998
Inactive	American States Life Insurance Company	301884	Agent - Health	12/30/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	12/30/1998	11/26/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	4/2/2001	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	4/2/2001	12/31/2001
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	6/14/2004	3/31/2020
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	6/14/2004	3/31/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/10/2005	11/21/2006
Inactive	CompDent Corporation	301387	Agent - Health	6/14/2004	12/23/2004
Inactive	CompDent Corporation	301387	Agent - Prepaid Dental Plan	3/9/1989	3/1/2001
Inactive	General American Life Insurance Company	300280	Agent - Health	2/2/1989	7/12/2000
Inactive	General American Life Insurance Company	300280	Agent - Life	2/2/1989	7/12/2000
Inactive	HM Life Insurance Company	301408	Agent - Health	6/14/2004	2/7/2005
Inactive	HM Life Insurance Company	301408	Agent - Life	6/14/2004	2/7/2005
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/14/2004	4/7/2020
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/14/2004	4/7/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/14/2004	5/2/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	12/28/1988	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/14/2004	5/2/2008
Inactive	Humana Insurance Company	300118	Agent - Health Maintenance Organization	9/29/1994	12/30/1998
Inactive	Humana Insurance Company	301104	Agent - Life	6/14/2004	5/2/2008
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	6/14/2004	1/17/2007
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	6/14/2004	1/17/2007
Inactive	Life Insurance Company of North America	300711	Agent - Health	2/14/1989	12/21/1998
Inactive	Life Insurance Company of North America	300711	Agent - Life	2/14/1989	12/21/1998
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	9/19/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	9/19/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Health	6/14/2004	3/31/2020
Inactive	Prudential Insurance Company of America	300784	Agent - Life	6/14/2004	3/31/2020
Inactive	Security Life Insurance Company of America	300936	Agent - Health	1/12/1998	12/6/2002
Inactive	Security Life Insurance Company of America	300936	Agent - Life	1/12/1998	12/6/2002
Inactive	Symetra Life Insurance Company	301691	Agent - Health	6/14/2004	4/17/2009
Inactive	Symetra Life Insurance Company	301691	Agent - Life	6/14/2004	4/17/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	6/14/2004	3/31/2020
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	6/14/2004	3/31/2020
Inactive	Transamerica Assurance Company	300893	Agent - Health	6/14/2004	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	6/14/2004	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2004	11/18/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2004	11/18/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	6/14/2004	7/2/2007
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	6/14/2004	7/2/2007
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/14/2004	4/4/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/14/2004	4/4/2005
Inactive	Trustmark Insurance Company	300317	Agent - Health	5/26/1994	5/19/2003
Inactive	Trustmark Insurance Company	300317	Agent - Life	5/26/1994	5/19/2003
Inactive	Union Central Life Insurance Company	300307	Agent - Health	6/14/2004	1/22/2007
Inactive	Union Central Life Insurance Company	300307	Agent - Life	6/14/2004	1/22/2007
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/14/2004	11/29/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/14/2004	11/29/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/14/2004	6/1/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/14/2004	6/1/2007
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/14/2004	11/29/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	1/19/1999	3/1/2001

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Poole, John Stephen	377983	Agent - Health	10/20/1988	7/1/2002
Inactive	Poole, John Stephen	377983	Agent - Life	10/20/1988	7/1/2002
Inactive	Poole, Wade H	392467	Agent - Health	6/14/2004	3/31/2020
Inactive	Poole, Wade H	392467	Agent - Life	6/14/2004	3/31/2020