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DEPARTMENT OF INSURANCE
Affiliations
Name
Employer Benefits Inc.
DOIID
399584
NAIC NPN
3319413
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health Maintenance Organization
12/20/1995
3/1/2001
Inactive
Resident
Agent
Life
4/18/1995
3/31/2007
Inactive
Resident
Agent
Health
4/18/1995
3/31/2007
Inactive
Resident
Agent
Prepaid Dental Plan
6/27/1995
3/1/2001
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
All American Life Insurance Company
300702
Agent - Health
4/18/1995
12/31/2002
Inactive
All American Life Insurance Company
300702
Agent - Life
4/18/1995
12/31/2002
Inactive
American Bankers Life Assurance Company of Florida
300171
Agent - Health
4/3/1996
10/21/1998
Inactive
American Bankers Life Assurance Company of Florida
300171
Agent - Life
4/3/1996
10/21/1998
Inactive
American General Life Insurance Company
301585
Agent - Health
12/31/2002
2/27/2004
Inactive
American General Life Insurance Company
301585
Agent - Life
12/31/2002
2/27/2004
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
10/8/1997
3/31/2007
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
10/8/1997
3/31/2007
Inactive
American United Life Insurance Company
300498
Agent - Health
7/13/1995
9/5/2002
Inactive
American United Life Insurance Company
300498
Agent - Life
7/13/1995
9/5/2002
Inactive
C.M. Life Insurance Company
301335
Agent - Health
3/19/1997
5/12/2000
Inactive
C.M. Life Insurance Company
301335
Agent - Life
3/19/1997
5/12/2000
Inactive
CompDent Corporation
301387
Agent - Health
3/1/2001
12/23/2004
Inactive
CompDent Corporation
301387
Agent - Prepaid Dental Plan
6/27/1995
3/1/2001
Inactive
Dearborn Life Insurance Company
300401
Agent - Health
12/31/2004
3/31/2007
Inactive
Dearborn Life Insurance Company
300401
Agent - Life
12/31/2004
3/31/2007
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
9/13/2002
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
12/20/1995
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
7/6/1995
9/13/2002
Inactive
Humana Insurance Company
300118
Agent - Health
12/20/1995
12/30/1998
Inactive
Humana Insurance Company
301104
Agent - Life
7/6/1995
9/13/2002
Inactive
Humana Insurance Company
300118
Agent - Life
12/20/1995
12/30/1998
Inactive
John Alden Life Insurance Company
300573
Agent - Health
11/15/1995
3/31/1997
Inactive
John Alden Life Insurance Company
300573
Agent - Life
11/15/1995
3/31/1997
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Health
9/26/1995
9/10/1996
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Life
9/26/1995
9/10/1996
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
7/6/1995
7/17/2000
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/6/1995
7/17/2000
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
2/6/1996
5/16/2006
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
2/6/1996
5/16/2006
Inactive
Medical Life Insurance Company
300693
Agent - Health
3/17/1997
12/31/2004
Inactive
Medical Life Insurance Company
300693
Agent - Life
3/17/1997
12/31/2004
Inactive
National Guardian Life Insurance Company
300596
Agent - Health
6/19/1995
3/31/1997
Inactive
National Guardian Life Insurance Company
300596
Agent - Life
6/19/1995
3/31/1997
Inactive
Professional Insurance Company
301281
Agent - Health
1/22/1999
3/31/2007
Inactive
Professional Insurance Company
301281
Agent - Life
1/22/1999
3/31/2007
Inactive
Protective Life Insurance Company
300638
Agent - Health
6/21/1995
5/27/2005
Inactive
Protective Life Insurance Company
300638
Agent - Life
6/21/1995
5/27/2005
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
1/19/1996
8/24/2000
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
1/19/1996
8/24/2000
Inactive
Union Security Insurance Company
301844
Agent - Health
7/25/1995
3/1/2004
Inactive
Union Security Insurance Company
301844
Agent - Life
7/25/1995
3/1/2004
Inactive
United Insurance Company of America
300775
Agent - Health
2/27/1998
3/3/2003
Inactive
United Insurance Company of America
300775
Agent - Life
2/27/1998
3/3/2003
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
5/5/1999
3/1/2004
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
5/5/1999
3/1/2004
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
3/6/1996
7/22/1999
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
3/6/1996
7/22/1999
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
3/1/2001
3/1/2004
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health Maintenance Organization
12/9/1996
3/1/2001
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
8/14/1995
3/31/2007
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
8/14/1995
3/31/2007
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Emery, David Rodger
376636
Agent - Health
4/18/1995
3/31/2007
Inactive
Emery, David Rodger
376636
Agent - Life
4/18/1995
3/31/2007
Inactive
Gorter, Thomas J
377604
Agent - Health
3/17/2003
3/31/2007
Inactive
Gorter, Thomas J
377604
Agent - Life
3/17/2003
3/31/2007
Inactive
Grabhorn, Michael Douglas
366428
Agent - Health
4/18/1995
2/21/2003
Inactive
Grabhorn, Michael Douglas
366428
Agent - Life
4/18/1995
2/21/2003
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