DEPARTMENT OF INSURANCE

Affiliations

Name	Medben Marketing Services Inc.	DOIID	398697	NAIC NPN	2677570

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	12/11/1997	3/31/2027
Active	Non Resident	Agent	Health	12/11/1997	3/31/2027
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/3/2003	4/14/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/3/2003	4/14/2005
Inactive	American Fidelity Assurance Company	301004	Agent - Health	8/8/2007	8/16/2010
Inactive	American Fidelity Assurance Company	301004	Agent - Life	8/8/2007	8/16/2010
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	12/10/1998	2/6/2003
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	12/10/1998	2/6/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	4/8/2003	3/24/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/8/2003	3/24/2009
Active	Arch Insurance Company	300688	Agent - Health	5/27/2003
Inactive	Avemco Insurance Company	300669	Agent - Health	12/7/2000	6/15/2005
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Health	1/25/2011	3/18/2019
Inactive	Canada Life Assurance Company	301192	Agent - Health	5/23/2007	2/5/2009
Inactive	Canada Life Assurance Company	301192	Agent - Life	5/23/2007	2/5/2009
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/7/2005
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/7/2005
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/4/2005	9/9/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/4/2005	9/9/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/4/2005	9/9/2010
Inactive	Continental Insurance Company (The)	301242	Agent - Health	12/27/2000	11/10/2003
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	9/9/2010
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Health	12/11/1997	6/4/2006
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Life	12/11/1997	6/4/2006
Inactive	Gerber Life Insurance Company	300529	Agent - Health	7/28/2003	12/21/2004
Inactive	Gerber Life Insurance Company	300529	Agent - Life	7/28/2003	12/21/2004
Active	HCC Life Insurance Company	301827	Agent - Health	7/17/2000
Active	HCC Life Insurance Company	301827	Agent - Life	7/17/2000
Active	HM Life Insurance Company	301408	Agent - Health	11/19/2010
Active	HM Life Insurance Company	301408	Agent - Life	11/19/2010
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	4/6/2004	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	4/6/2004	12/31/2006
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/16/2001
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/16/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/14/2008	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Health	3/14/2008	9/9/2010
Inactive	Humana Insurance Company	301104	Agent - Life	3/14/2008	9/9/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/14/2008	9/9/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/14/2008	9/9/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/27/2003	4/18/2013
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	10/2/2012
Active	Nationwide Life Insurance Company	300495	Agent - Health	10/19/2009
Active	Nationwide Life Insurance Company	300495	Agent - Life	10/19/2009
Inactive	Professional Insurance Company	301281	Agent - Health	7/13/2004	6/21/2006
Inactive	Professional Insurance Company	301281	Agent - Life	7/13/2004	6/21/2006
Inactive	Protective Life Insurance Company	300638	Agent - Health	8/28/2000	12/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	8/28/2000	12/15/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/24/2001	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/24/2001	11/10/2004
Inactive	QBE Insurance Corporation	300515	Agent - Health	1/12/2004	9/29/2021
Active	ReliaStar Life Insurance Company	301712	Agent - Health	7/30/2014
Active	ReliaStar Life Insurance Company	301712	Agent - Life	7/30/2014
Active	Standard Insurance Company	300185	Agent - Health	12/8/2004
Active	Standard Insurance Company	300185	Agent - Life	12/8/2004
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	3/18/2009
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	3/18/2009
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	3/16/2009	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	3/16/2009	8/22/2011
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/11/2021
Active	Symetra Life Insurance Company	301691	Agent - Health	2/11/2011
Active	Symetra Life Insurance Company	301691	Agent - Life	2/11/2011
Active	Talcott Resolution Life Insurance Company	301759	Agent - Health	10/10/2002
Active	Talcott Resolution Life Insurance Company	301759	Agent - Life	10/10/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/5/1998	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/5/1998	12/30/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	1/4/2017
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	1/4/2017
Active	United States Fire Insurance Company	582240	Agent - Health	11/15/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/27/2003	4/18/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/27/2003	4/18/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/31/2006	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/31/2006	11/30/2016
Inactive	Westport Insurance Corporation	301875	Agent - Health	6/6/2017	4/20/2023
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	8/28/2000	11/10/2003
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	8/28/2000	11/10/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crum, Michael L	355397	Agent - Health	12/11/1997	9/26/2017
Inactive	Crum, Michael L	355397	Agent - Life	12/11/1997	9/26/2017
Active	Fargus, Brian M	700164	Agent - Health	9/26/2017
Active	Fargus, Brian M	700164	Agent - Life	9/26/2017
Inactive	Pickerill, Blair L	378699	Agent - Health	12/11/1997	8/31/2005
Inactive	Pickerill, Blair L	378699	Agent - Life	12/11/1997	8/31/2005