DEPARTMENT OF INSURANCE
Affiliations
NameEmployer Benefits Inc.DOIID399584NAIC NPN3319413
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth Maintenance Organization12/20/19953/1/2001 
InactiveResidentAgentLife4/18/19953/31/2007 
InactiveResidentAgentHealth4/18/19953/31/2007 
InactiveResidentAgentPrepaid Dental Plan6/27/19953/1/2001 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAll American Life Insurance Company300702Agent - Health4/18/199512/31/2002
InactiveAll American Life Insurance Company300702Agent - Life4/18/199512/31/2002
InactiveAmerican Bankers Life Assurance Company of Florida300171Agent - Health4/3/199610/21/1998
InactiveAmerican Bankers Life Assurance Company of Florida300171Agent - Life4/3/199610/21/1998
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/20022/27/2004
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20022/27/2004
InactiveAmerican Heritage Life Insurance Company300272Agent - Health10/8/19973/31/2007
InactiveAmerican Heritage Life Insurance Company300272Agent - Life10/8/19973/31/2007
InactiveAmerican United Life Insurance Company300498Agent - Health7/13/19959/5/2002
InactiveAmerican United Life Insurance Company300498Agent - Life7/13/19959/5/2002
InactiveC.M. Life Insurance Company301335Agent - Health3/19/19975/12/2000
InactiveC.M. Life Insurance Company301335Agent - Life3/19/19975/12/2000
InactiveCompDent Corporation301387Agent - Health3/1/200112/23/2004
InactiveCompDent Corporation301387Agent - Prepaid Dental Plan6/27/19953/1/2001
InactiveDearborn Life Insurance Company300401Agent - Health12/31/20043/31/2007
InactiveDearborn Life Insurance Company300401Agent - Life12/31/20043/31/2007
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20019/13/2002
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization12/20/19953/1/2001
InactiveHumana Insurance Company301104Agent - Health7/6/19959/13/2002
InactiveHumana Insurance Company300118Agent - Health12/20/199512/30/1998
InactiveHumana Insurance Company301104Agent - Life7/6/19959/13/2002
InactiveHumana Insurance Company300118Agent - Life12/20/199512/30/1998
InactiveJohn Alden Life Insurance Company300573Agent - Health11/15/19953/31/1997
InactiveJohn Alden Life Insurance Company300573Agent - Life11/15/19953/31/1997
InactiveLafayette Life Insurance Company (The)301039Agent - Health9/26/19959/10/1996
InactiveLafayette Life Insurance Company (The)301039Agent - Life9/26/19959/10/1996
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/6/19957/17/2000
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/6/19957/17/2000
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health2/6/19965/16/2006
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life2/6/19965/16/2006
InactiveMedical Life Insurance Company300693Agent - Health3/17/199712/31/2004
InactiveMedical Life Insurance Company300693Agent - Life3/17/199712/31/2004
InactiveNational Guardian Life Insurance Company300596Agent - Health6/19/19953/31/1997
InactiveNational Guardian Life Insurance Company300596Agent - Life6/19/19953/31/1997
InactiveProfessional Insurance Company301281Agent - Health1/22/19993/31/2007
InactiveProfessional Insurance Company301281Agent - Life1/22/19993/31/2007
InactiveProtective Life Insurance Company300638Agent - Health6/21/19955/27/2005
InactiveProtective Life Insurance Company300638Agent - Life6/21/19955/27/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/19/19968/24/2000
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/19/19968/24/2000
InactiveUnion Security Insurance Company301844Agent - Health7/25/19953/1/2004
InactiveUnion Security Insurance Company301844Agent - Life7/25/19953/1/2004
InactiveUnited Insurance Company of America300775Agent - Health2/27/19983/3/2003
InactiveUnited Insurance Company of America300775Agent - Life2/27/19983/3/2003
InactiveUnitedHealthcare Insurance Company300946Agent - Health5/5/19993/1/2004
InactiveUnitedHealthcare Insurance Company300946Agent - Life5/5/19993/1/2004
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health3/6/19967/22/1999
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life3/6/19967/22/1999
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/20013/1/2004
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization12/9/19963/1/2001
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health8/14/19953/31/2007
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life8/14/19953/31/2007
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEmery, David Rodger 376636Agent - Health4/18/19953/31/2007
InactiveEmery, David Rodger 376636Agent - Life4/18/19953/31/2007
InactiveGorter, Thomas J 377604Agent - Health3/17/20033/31/2007
InactiveGorter, Thomas J 377604Agent - Life3/17/20033/31/2007
InactiveGrabhorn, Michael Douglas 366428Agent - Health4/18/19952/21/2003
InactiveGrabhorn, Michael Douglas 366428Agent - Life4/18/19952/21/2003

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