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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	01/31/2025	01/31/2025	Yes

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