DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	West Kentucky Group Benefits, Inc.	DOIID	509035	NAIC NPN	7223105

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/26/2000	3/17/2015
Inactive	Resident	Agent	Life	5/8/2000	3/17/2015
* 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 Life Insurance Company	301209	Agent - Health	6/26/2000	3/17/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/8/2000	3/17/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/10/2006	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	8/12/2014	3/17/2015
Inactive	Time Insurance Company	300683	Agent - Health	2/11/2003	12/29/2008
Inactive	Time Insurance Company	300683	Agent - Life	2/11/2003	12/29/2008
Inactive	United World Life Insurance Company	300532	Agent - Health	2/10/2006	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/10/2006	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/10/2006	12/26/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adcock, Berry Banvard	339595	Agent - Health	6/26/2000	3/17/2015
Inactive	Adcock, Berry Banvard	339595	Agent - Life	5/8/2000	3/17/2015