DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	United Benefit Services Inc.	DOIID	401269	NAIC NPN	7223000

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	11/9/1994	3/31/1999
Inactive	Resident	Agent	Health Maintenance Organization	8/19/1991	3/1/2001
Inactive	Resident	Agent	Life	7/21/1993	6/7/2000
Inactive	Resident	Agent	Health	8/2/2001	5/31/2003
* 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	5/31/2003
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	8/19/1991	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/31/1990	3/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/21/1993	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/21/1993	6/7/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kitterman, David Lee	323218	Agent - Health	7/21/1993	5/31/2003
Inactive	Kitterman, David Lee	323218	Agent - Life	7/21/1993	6/30/2004
Inactive	Lambertus, Parvin E	382770	Administrator - Not Applicable	11/9/1994	3/31/1999
Inactive	Lee, Warren R	315342	Administrator - Not Applicable	11/9/1994	3/31/1999
Inactive	Lee, Warren R	315342	Agent - Health	7/21/1993	5/31/2003
Inactive	Lee, Warren R	315342	Agent - Life	7/21/1993	4/30/2005