DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	South East Benefits Inc.	DOIID	399215	NAIC NPN	7221495

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/11/1992	3/2/1999
Inactive	Resident	Agent	Life	6/11/1992	3/2/1999
* 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	Humana Insurance Company	301104	Agent - Health	6/11/1992	3/2/1999
Inactive	Humana Insurance Company	301104	Agent - Life	6/11/1992	3/2/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gibson, Gregory Dee	364281	Agent - Health	5/14/1992	3/2/1999
Inactive	Mullins, Jefferson Lester	368192	Agent - Health	5/14/1992	3/2/1999