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DEPARTMENT OF INSURANCE
Affiliations
Name
Employer Services Plus Inc.
DOIID
400430
NAIC NPN
7222407
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
9/14/1990
5/31/2004
Inactive
Resident
Agent
Health Maintenance Organization
8/20/1990
3/1/2001
Inactive
Resident
Agent
Health
9/14/1990
5/31/2004
* 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
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
3/1/2001
5/31/2004
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health Maintenance Organization
8/20/1990
3/1/2001
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
12/21/2001
5/31/2004
Inactive
Anthem Life Insurance Company
301209
Agent - Health
8/30/1999
5/31/2004
Inactive
Anthem Life Insurance Company
301209
Agent - Life
8/30/1999
5/31/2004
Inactive
Canada Life Assurance Company
301192
Agent - Health
6/26/2002
5/31/2004
Inactive
Canada Life Assurance Company
301192
Agent - Life
6/26/2002
5/31/2004
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
6/14/2001
5/31/2004
Inactive
Humana Insurance Company
301104
Agent - Health
7/16/2001
5/31/2004
Inactive
Humana Insurance Company
301104
Agent - Life
7/16/2001
5/31/2004
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
8/22/2002
5/31/2004
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
8/22/2002
5/31/2004
Inactive
Principal Life Insurance Company
300129
Agent - Health
9/14/1990
11/30/2003
Inactive
Principal Life Insurance Company
300129
Agent - Life
9/14/1990
11/30/2003
Inactive
Trustmark Insurance Company
300317
Agent - Health
4/21/2000
5/19/2003
Inactive
Trustmark Insurance Company
300317
Agent - Life
4/21/2000
5/19/2003
Inactive
Union Security Insurance Company
301844
Agent - Health
10/20/1999
3/1/2004
Inactive
Union Security Insurance Company
301844
Agent - Life
10/20/1999
3/1/2004
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
8/17/1999
12/31/2001
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
8/17/1999
12/31/2001
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
3/1/2001
12/31/2001
Inactive
Dental Choice Agency Inc.
398085
Agent - Prepaid Dental Plan
8/9/1999
3/1/2001
Inactive
Lutz, William Louis
373479
Agent - Health
4/25/2003
2/9/2004
Inactive
Lutz, William Louis
373479
Agent - Life
4/25/2003
2/9/2004
Inactive
Medlink Inc
400721
Agent - Health
11/4/1991
12/31/2001
Inactive
Medlink Inc
400721
Agent - Life
11/4/1991
12/31/2001
Inactive
Norwood, Jean Elizabeth
374662
Agent - Health
8/20/1990
5/31/2004
Inactive
Norwood, Jean Elizabeth
374662
Agent - Life
8/20/1990
5/31/2004
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