DEPARTMENT OF INSURANCE
Affiliations
NameEmployer's Benefit Services Inc.DOIID401082NAIC NPN7222903
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentPrepaid Dental Plan8/18/19943/1/2001 
InactiveResidentAgentHealth6/14/19943/31/2020 
InactiveResidentAgentHealth Maintenance Organization8/18/19943/1/2001 
InactiveResidentAgentLife6/14/19943/31/2020 
* 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
InactiveAXIS Insurance Company301290Agent - Health5/20/20133/31/2020
InactiveAdvantage Care, Inc.300998Agent - Health Maintenance Organization10/27/199412/1/2000
InactiveAetna Health Inc.300694Agent - Health3/1/200112/31/2007
InactiveAetna Health Inc.300694Agent - Health Maintenance Organization8/16/20003/1/2001
InactiveAetna Health Inc. (PA)660717Agent - Health8/10/20173/31/2020
InactiveAetna Life Insurance Company301140Agent - Health8/10/20173/31/2020
InactiveAetna Life Insurance Company301140Agent - Life8/10/20173/31/2020
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health9/15/20094/16/2020
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life9/15/20094/16/2020
InactiveAmerican Fidelity Assurance Company301004Agent - Health9/1/20129/16/2014
InactiveAmerican Fidelity Assurance Company301004Agent - Life9/1/20129/16/2014
InactiveAmerican Retirement Life Insurance Company706303Agent - Health5/1/201412/21/2018
InactiveAmerican Retirement Life Insurance Company706303Agent - Life5/1/201412/21/2018
InactiveAmerican United Life Insurance Company300498Agent - Health6/9/20043/31/2020
InactiveAmerican United Life Insurance Company300498Agent - Life6/9/20043/31/2020
InactiveAmeritas Life Insurance Corporation300126Agent - Health12/31/20163/31/2020
InactiveAmeritas Life Insurance Corporation300126Agent - Life12/31/20163/31/2020
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/21/20013/31/2020
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/21/200110/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health8/23/19943/31/2020
InactiveAnthem Life Insurance Company301209Agent - Life8/23/19943/31/2020
InactiveArcadian Health Plan, Inc.728196Agent - Health10/18/201712/19/2019
InactiveAugustar Life Assurance Corporation301113Agent - Life11/9/201712/26/2018
InactiveAugustar Life Insurance Company301816Agent - Life11/9/201712/26/2018
InactiveBanner Life Insurance Company301696Agent - Life11/11/20103/31/2020
InactiveBaptist Health Plan, Inc.300157Agent - Health11/24/20043/31/2019
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/200112/21/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/200112/21/2011
InactiveBrighthouse Life Insurance Company301829Agent - Health4/21/20153/31/2020
InactiveBrighthouse Life Insurance Company301829Agent - Life4/21/20153/31/2020
InactiveCHA HMO, Inc.300662Agent - Health3/1/200110/10/2014
InactiveCHA HMO, Inc.300662Agent - Health Maintenance Organization11/14/19953/1/2001
InactiveCIGNA Health & Life Insurance Company301783Agent - Health4/6/201712/21/2018
InactiveCIGNA Health & Life Insurance Company301783Agent - Life4/6/201712/21/2018
InactiveCMD Health, Inc.702047Agent - Health8/31/20103/31/2013
InactiveCanada Life Assurance Company301192Agent - Health2/18/200212/15/2004
InactiveCanada Life Assurance Company301192Agent - Life2/18/200212/15/2004
InactiveCincinnati Life Insurance Company (The)300601Agent - Health9/7/20173/31/2020
InactiveCincinnati Life Insurance Company (The)300601Agent - Life9/7/20173/31/2020
InactiveCitizens Security Life Insurance Company301257Agent - Health7/18/199412/9/2004
InactiveCitizens Security Life Insurance Company301257Agent - Life7/18/199412/9/2004
InactiveClarica Life Insurance Company - U.S.300207Agent - Health8/23/19943/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Life8/23/19943/31/1997
InactiveColonial Life and Accident Insurance Company300846Agent - Health5/27/20038/26/2019
InactiveColonial Life and Accident Insurance Company300846Agent - Life5/27/20038/26/2019
InactiveCombined Insurance Company of America301472Agent - Health4/12/199612/30/1998
InactiveCombined Insurance Company of America301472Agent - Life4/12/199612/30/1998
InactiveCompBenefits Dental, Inc.591692Agent - Health1/10/200512/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health6/14/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life6/14/20087/2/2013
InactiveCompDent Corporation301387Agent - Health3/1/200112/23/2004
InactiveCompDent Corporation301387Agent - Prepaid Dental Plan8/18/19943/1/2001
InactiveConseco Health Insurance Company301725Agent - Health12/11/200910/1/2010
InactiveConseco Health Insurance Company301725Agent - Life12/11/200910/1/2010
InactiveConseco Insurance Company301202Agent - Health12/11/200910/1/2010
InactiveConseco Insurance Company301202Agent - Life12/11/200910/1/2010
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/20183/31/2020
InactiveCoventry Health and Life Insurance Company301771Agent - Health3/26/20093/31/2020
InactiveDental Concern Inc. (The)301641Agent - Health6/17/200212/19/2019
InactiveFidelity Security Life Insurance Company300466Agent - Health3/21/20071/6/2015
InactiveFidelity Security Life Insurance Company300466Agent - Life3/21/20071/6/2015
InactiveFirst Health Life & Health Insurance Company301735Agent - Health8/10/20173/31/2020
InactiveGenworth Life Insurance Company300623Agent - Health3/21/201110/4/2012
InactiveGenworth Life Insurance Company300623Agent - Life3/21/201110/4/2012
InactiveGerber Life Insurance Company300529Agent - Health7/30/201012/26/2012
InactiveGerber Life Insurance Company300529Agent - Life7/30/201012/26/2012
InactiveGolden Rule Insurance Company301943Agent - Health9/8/199412/13/2014
InactiveGolden Rule Insurance Company301943Agent - Life9/8/199412/13/2014
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Health6/29/201012/26/2012
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life6/29/201012/26/2012
InactiveGuardian Life Insurance Company of America301316Agent - Health6/14/199412/19/2019
InactiveGuardian Life Insurance Company of America301316Agent - Life6/14/199412/19/2019
InactiveHartford Life and Accident Insurance Company300878Agent - Health8/15/20064/19/2019
InactiveHartford Life and Accident Insurance Company300878Agent - Life8/15/20064/19/2019
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health5/17/201912/19/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health5/17/201912/19/2019
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20013/31/2020
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization8/18/19943/1/2001
InactiveHumana Insurance Company301104Agent - Health8/23/19943/31/2020
InactiveHumana Insurance Company301104Agent - Life8/23/19943/31/2020
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/29/200412/19/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/29/200412/19/2019
InactiveHumana Medical Plan, Inc.801568Agent - Health5/17/201912/19/2019
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health5/17/201912/19/2019
InactiveHumanaDental Insurance Company301457Agent - Health6/6/20137/31/2014
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health7/28/20057/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life7/28/20057/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health7/28/20054/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life7/28/20054/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health11/18/19943/31/1997
InactiveJohn Alden Life Insurance Company300573Agent - Life11/18/19943/31/1997
InactiveKanawha Insurance Company300127Agent - Health3/5/20108/9/2018
InactiveKanawha Insurance Company300127Agent - Life1/26/20108/9/2018
InactiveKentucky Health Cooperative, Inc.798780Agent - Health10/8/201310/29/2015
InactiveLiberty Bankers Life Insurance Company542461Agent - Life3/25/201312/2/2015
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/2/20072/4/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/2/20072/4/2010
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health4/23/19966/25/2018
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life4/23/19966/25/2018
InactiveMedico Insurance Company301559Agent - Health7/17/201212/17/2014
InactiveMedico Insurance Company301559Agent - Life7/17/201212/17/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health6/29/199911/18/2008
InactiveMetropolitan Life Insurance Company301948Agent - Life6/29/199911/18/2008
InactiveMutual of Omaha Insurance Company301012Agent - Health12/1/19971/23/2014
InactiveNorth American Company for Life and Health Insurance300291Agent - Health1/16/199610/18/2005
InactiveNorth American Company for Life and Health Insurance300291Agent - Life10/26/20155/14/2018
InactivePacifiCare Life and Health Insurance Company301304Agent - Health9/15/201011/5/2011
InactivePaul Revere Life Insurance Company300971Agent - Health3/10/199512/2/2005
InactivePaul Revere Life Insurance Company300971Agent - Life3/10/199512/2/2005
InactivePioneer Mutual Life Insurance Company501695Agent - Health3/21/201312/5/2017
InactivePioneer Mutual Life Insurance Company501695Agent - Life3/21/201312/5/2017
InactivePrincipal Life Insurance Company300129Agent - Health10/9/20063/31/2020
InactivePrincipal Life Insurance Company300129Agent - Life10/9/20063/31/2020
InactiveProtective Life Insurance Company300638Agent - Health1/1/200712/21/2010
InactiveProtective Life Insurance Company300638Agent - Life1/1/200712/21/2010
InactiveProvident Life and Accident Insurance Company301525Agent - Health3/7/200812/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life3/7/200812/30/2009
InactivePruco Life Insurance Company300954Agent - Life9/12/20133/31/2020
InactiveReliance Standard Life Insurance Company300584Agent - Health1/10/20143/31/2020
InactiveReliance Standard Life Insurance Company300584Agent - Life1/10/20143/31/2020
InactiveSecurity Life Insurance Company of America300936Agent - Health3/21/201212/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life3/21/201212/31/2016
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health8/18/19943/31/1997
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life8/18/19943/31/1997
InactiveSilverScript Insurance Company663526Agent - Health10/19/20193/31/2020
InactiveStandard Insurance Company300185Agent - Health4/23/200912/1/2018
InactiveStandard Insurance Company300185Agent - Life4/23/200912/1/2018
InactiveState Life Insurance Company301497Agent - Health3/21/20133/31/2020
InactiveState Life Insurance Company301497Agent - Life3/21/20133/31/2020
InactiveSun Life Assurance Company of Canada301811Agent - Health9/1/20103/31/2020
InactiveSun Life Assurance Company of Canada301811Agent - Life9/1/20103/31/2020
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health9/1/20108/22/2011
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life9/1/20108/22/2011
InactiveTime Insurance Company300683Agent - Health2/15/200211/23/2009
InactiveTime Insurance Company300683Agent - Life2/15/200211/23/2009
InactiveTransamerica Life Insurance Company300571Agent - Health3/11/20103/31/2020
InactiveTransamerica Life Insurance Company300571Agent - Life3/11/20103/31/2020
InactiveU.S. Financial Life Insurance Company301812Agent - Health8/23/20007/13/2005
InactiveU.S. Financial Life Insurance Company301812Agent - Life8/23/20007/13/2005
InactiveUNUM Life Insurance Company of America300817Agent - Health3/7/200812/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life3/7/200812/30/2009
InactiveUnion Central Life Insurance Company300307Agent - Health9/21/20001/13/2009
InactiveUnion Central Life Insurance Company300307Agent - Life9/21/20001/13/2009
InactiveUnion Security Insurance Company301844Agent - Health9/9/20101/8/2015
InactiveUnion Security Insurance Company301844Agent - Life9/9/20101/8/2015
InactiveUnited of Omaha Life Insurance Company300156Agent - Health12/1/19971/23/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life12/1/19971/23/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/23/20153/31/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/23/20153/31/2020
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/20191/25/2020
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/20013/31/2020
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization4/20/19993/1/2001
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/13/201312/5/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/13/20151/25/2020
InactiveWashington National Insurance Company300587Agent - Health10/1/20102/26/2014
InactiveWashington National Insurance Company300587Agent - Life10/1/20102/26/2014
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/11/20183/31/2020
InactiveWellpoint Life and Health Insurance Company300469Agent - Health6/24/199712/3/2010
InactiveWellpoint Life and Health Insurance Company300469Agent - Life6/24/199712/3/2010
Inactive300277Agent - Health12/27/19961/1/2007
Inactive300277Agent - Life12/27/19961/1/2007
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health8/24/199912/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life8/24/199912/31/2001
InactiveBaker, Michael Scott 542563Agent - Health6/19/20133/31/2020
InactiveBaker, Michael Scott 542563Agent - Life6/19/20133/31/2020
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200112/31/2001
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
InactivePrice, James Melvin 336270Agent - Health2/25/20033/31/2020
InactivePrice, James Melvin 336270Agent - Life2/25/20033/31/2020
InactiveWithrow, James Harrison 362143Agent - Health6/14/199412/1/2009
InactiveWithrow, James Harrison 362143Agent - Health Maintenance Organization6/14/19943/1/2001
InactiveWithrow, James Harrison 362143Agent - Life6/14/199412/1/2009

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