PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameMutual Benefit Marketing Group Inc.DOIID398685NAIC NPN654232
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth7/28/199312/28/2000 
InactiveNon ResidentAgentLife7/28/199312/28/2000 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFirst Colony Life Insurance Company301179Agent - Life3/6/199812/28/1998
InactiveJohn Hancock Life Insurance Company300821Agent - Health7/28/199312/28/2000
InactiveJohn Hancock Life Insurance Company300821Agent - Life7/28/199312/28/2000
InactiveMetropolitan Life Insurance Company301948Agent - Health9/23/199612/28/2000
InactiveMetropolitan Life Insurance Company301948Agent - Life9/23/199612/28/2000
InactivePrudential Insurance Company of America300784Agent - Health1/24/19941/2/1997
InactivePrudential Insurance Company of America300784Agent - Life1/24/19941/2/1997
InactiveReassure America Life Insurance Company301902Agent - Health5/27/199712/28/2000
InactiveReassure America Life Insurance Company301902Agent - Life5/27/199712/28/2000
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBossen, Wendell John 360509Agent - Health7/29/19934/22/1996
InactiveBossen, Wendell John 360509Agent - Life7/29/19934/22/1996
InactiveBroadbent, Pattie Robbins 387614Agent - Health1/29/19932/14/2003
InactiveBroadbent, Pattie Robbins 387614Agent - Life1/29/19932/14/2003
InactiveBrown, Henry Hewett 328540Agent - Health1/29/19932/14/2003
InactiveBrown, Henry Hewett 328540Agent - Life1/29/19932/14/2003
InactiveCatlett, Jerry Dale 348559Agent - Health1/29/19962/14/2003
InactiveCatlett, Jerry Dale 348559Agent - Life1/29/19962/14/2003
InactiveDamaschke, Dennis James 364016Agent - Health8/5/19961/5/1998
InactiveDamaschke, Dennis James 364016Agent - Life8/5/19961/5/1998
InactiveDickens, William D 371198Agent - Health1/29/19962/14/2003
InactiveDickens, William D 371198Agent - Life1/29/19962/14/2003
InactiveDingus, James Bartram 374426Agent - Health1/29/19962/14/2003
InactiveDingus, James Bartram 374426Agent - Life1/29/19962/14/2003
InactiveGraham, Jay Allen 323640Agent - Health1/29/19962/14/2003
InactiveGraham, Jay Allen 323640Agent - Life1/29/19962/14/2003
InactiveHoward, Claude William 394046Agent - Health1/29/19962/14/2003
InactiveHoward, Claude William 394046Agent - Life1/29/19962/14/2003
InactiveHughes, John P 348715Agent - Health1/29/19967/1/1996
InactiveHughes, John P 348715Agent - Life1/29/19967/1/1996
InactiveLuft, Ronald Lynn 359954Agent - Health1/29/19962/14/2003
InactiveLuft, Ronald Lynn 359954Agent - Life1/29/19962/14/2003
InactiveMartin, Robert Heyerdale 373980Agent - Health1/29/19962/14/2003
InactiveMartin, Robert Heyerdale 373980Agent - Life1/29/19962/14/2003
InactiveRabold, Robert Fuller 352844Agent - Health1/29/19962/14/2003
InactiveRabold, Robert Fuller 352844Agent - Life1/29/19962/14/2003
InactiveRay, Kenneth Lee 338338Agent - Health1/29/19962/14/2003
InactiveRay, Kenneth Lee 338338Agent - Life1/29/19962/14/2003
InactiveRobbins, William Glen 378920Agent - Health1/29/19962/14/2003
InactiveRobbins, William Glen 378920Agent - Life1/29/19962/14/2003
InactiveSchildt, Joseph B 325023Agent - Health1/29/19962/14/2003
InactiveSchildt, Joseph B 325023Agent - Life1/29/19962/14/2003
InactiveSoudrette, Edwin John 313939Agent - Health1/29/19962/14/2003
InactiveSoudrette, Edwin John 313939Agent - Life1/29/19962/14/2003
InactiveSpencer, William G 377554Agent - Health1/29/19962/14/2003
InactiveSpencer, William G 377554Agent - Life1/29/19962/14/2003
InactiveSwitlyk, James Robert 343398Agent - Health8/4/19972/14/2003
InactiveSwitlyk, James Robert 343398Agent - Life8/4/19972/14/2003
InactiveWalker, Phillip Anthony 380717Agent - Health1/29/19962/14/2003
InactiveWalker, Phillip Anthony 380717Agent - Life1/29/19962/14/2003
InactiveYoung, James Randall 370028Agent - Health7/29/19932/14/2003
InactiveYoung, James Randall 370028Agent - Life7/29/19932/14/2003

© Commonwealth of Kentucky. All rights reserved.