DEPARTMENT OF INSURANCE

Affiliations

Name	Benefit Resources International	DOIID	400542	NAIC NPN	3000451

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Prepaid Dental Plan	12/1/1997	3/1/2001
Inactive	Resident	Agent	Life	6/10/1997	3/31/2007
Inactive	Resident	Agent	Health	6/10/1997	3/31/2007
Inactive	Resident	Agent	Variable Life and Variable Annuities	1/3/2001	12/16/2002
Inactive	Resident	Agent	Health Maintenance Organization	8/4/1997	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ADENTA, Inc.	301437	Agent - Health	3/1/2001	7/15/2002
Inactive	ADENTA, Inc.	301437	Agent - Prepaid Dental Plan	6/19/1998	3/1/2001
Inactive	Aetna Health Inc.	300694	Agent - Health	3/1/2001	3/31/2007
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	5/23/2000	3/1/2001
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/7/1999	3/31/2007
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/7/1999	3/31/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/22/1997	7/31/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/22/1997	7/31/2005
Inactive	American Fidelity Assurance Company	301004	Agent - Health	9/7/1999	2/17/2000
Inactive	American Fidelity Assurance Company	301004	Agent - Life	9/7/1999	2/17/2000
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	10/16/1997	2/6/2003
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	10/16/1997	2/6/2003
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/26/2001	3/31/2007
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/26/2001	3/31/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/4/1998	3/31/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/4/1998	3/31/2007
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	3/31/2007
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	3/31/2007
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/11/2002	3/31/2007
Inactive	Canada Life Assurance Company	301192	Agent - Health	4/30/2001	12/14/2004
Inactive	Canada Life Assurance Company	301192	Agent - Life	4/30/2001	12/14/2004
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	9/8/1997	6/19/1998
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	9/8/1997	6/19/1998
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	7/30/1998	7/1/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	7/30/1998	7/1/1999
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/7/1997	3/11/2005
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/7/1997	3/11/2005
Inactive	CompDent Corporation	301387	Agent - Health	3/1/2001	12/23/2004
Inactive	CompDent Corporation	301387	Agent - Prepaid Dental Plan	3/8/2000	3/1/2001
Inactive	Continental Casualty Company	301019	Agent - Health	9/3/1997	11/29/2004
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	Dental Concern Inc. (The)	301641	Agent - Health	6/17/2002	3/31/2007
Inactive	DentiCare, Inc.	300655	Agent - Health	3/1/2001	11/1/2005
Inactive	DentiCare, Inc.	300655	Agent - Prepaid Dental Plan	8/7/2000	3/1/2001
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	12/14/2000	3/10/2003
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	12/14/2000	3/10/2003
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	1/3/2001	12/16/2002
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	7/30/1998	7/1/1999
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	7/30/1998	7/1/1999
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/16/1997	1/1/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	3/31/2007
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	5/22/2000	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	5/22/2000	9/8/2000
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/26/1998	3/31/2007
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/26/1998	3/31/2007
Inactive	Health Resources Inc.	301210	Agent - Health	3/1/2001	3/2/2005
Inactive	Health Resources Inc.	301210	Agent - Prepaid Dental Plan	1/30/1999	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	3/31/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	8/4/1997	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	8/4/1997	3/31/2007
Inactive	Humana Insurance Company	301104	Agent - Life	8/4/1997	3/31/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/30/2004	3/31/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/30/2004	3/31/2007
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	3/31/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	3/31/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	3/31/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	6/10/1997	3/31/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	6/10/1997	3/31/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	1/25/2001	11/7/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	1/25/2001	11/7/2002
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	1/7/2000	3/31/2007
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/7/2000	3/31/2007
Inactive	Legion Insurance Company	301490	Agent - Health	2/9/1999	7/1/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/21/2000	5/17/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/21/2000	5/17/2004
Inactive	Medical Life Insurance Company	300693	Agent - Health	2/22/2000	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	2/22/2000	12/31/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/3/2000	3/31/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/3/2000	3/31/2007
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	4/20/1998	3/12/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	4/20/1998	3/12/2002
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/8/2001	3/2/2006
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Health	7/9/1998	3/31/2007
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Life	7/9/1998	3/31/2007
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	4/25/1998	10/18/2005
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/25/1998	10/18/2005
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	6/30/1997	8/24/2000
Inactive	Premier Dental Network Inc.	300661	Agent - Prepaid Dental Plan	12/1/1997	2/2/2001
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/11/1998	3/31/2007
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/11/1998	3/31/2007
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/1/2007	3/31/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	3/31/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/28/1997	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/28/1997	11/10/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Health	12/30/1998	3/31/2007
Inactive	Prudential Insurance Company of America	300784	Agent - Life	12/30/1998	3/31/2007
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/13/1997	1/2/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	3/12/2002	4/28/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/13/1997	1/2/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	3/12/2002	4/28/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	6/18/2001	3/27/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	6/18/2001	3/27/2007
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	6/3/1999	3/31/2007
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	6/3/1999	3/31/2007
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	11/11/1997	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	11/11/1997	10/1/2003
Inactive	Standard Insurance Company	300185	Agent - Health	9/26/1997	3/31/2007
Inactive	Standard Insurance Company	300185	Agent - Life	9/26/1997	3/31/2007
Inactive	State Life Insurance Company	301497	Agent - Health	10/15/2001	3/31/2007
Inactive	State Life Insurance Company	301497	Agent - Life	10/15/2001	3/31/2007
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	5/7/2001	7/7/2004
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	5/7/2001	7/7/2004
Inactive	Transamerica Assurance Company	300893	Agent - Health	4/20/1999	8/19/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	4/20/1999	8/19/2003
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2005	12/27/2006
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	4/20/1999	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	4/20/1999	12/27/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	4/20/1999	12/27/2006
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	3/26/2001	3/31/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/26/2001	3/31/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/9/1998	11/10/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/9/1998	11/10/2004
Inactive	Union Central Life Insurance Company	300307	Agent - Health	9/20/2000	3/3/2006
Inactive	Union Central Life Insurance Company	300307	Agent - Life	9/20/2000	3/3/2006
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	6/11/1999	2/20/2001
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	6/11/1999	2/20/2001
Inactive	Union Security Insurance Company	301844	Agent - Health	9/28/1998	3/31/2007
Inactive	Union Security Insurance Company	301844	Agent - Life	9/28/1998	3/31/2007
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	6/12/2001	3/31/2007
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	6/12/2001	3/31/2007
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	7/30/1998	12/28/2005
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	7/30/1998	12/28/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/8/2001	3/2/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/8/2001	3/2/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/9/2005	10/23/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/9/2005	10/23/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/9/2005	10/23/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	4/25/1998	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/9/2005	10/23/2006
Inactive		300277	Agent - Health	4/15/1998	1/1/2007
Inactive		300277	Agent - Life	4/15/1998	1/1/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/26/1998	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/26/1998	12/31/2001
Inactive	Dunaway, Katherine Michelle	357714	Agent - Health	1/3/2007	3/31/2007
Inactive	Dunaway, Katherine Michelle	357714	Agent - Health Maintenance Organization	8/4/1997	3/1/2001
Inactive	Dunaway, Katherine Michelle	357714	Agent - Life	1/3/2007	3/31/2007
Inactive	Dunaway, Katherine Michelle	357714	Agent - Prepaid Dental Plan	12/1/1997	12/28/1998
Inactive	Reeves, Valerie Sue	347611	Agent - Health	2/11/2003	3/31/2007
Inactive	Reeves, Valerie Sue	347611	Agent - Life	2/11/2003	3/31/2007
Inactive	Reeves, Valerie Sue	347611	Agent - Variable Life and Variable Annuities	1/3/2001	12/16/2002