DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Preferred Benefits Services Agency, Inc.	DOIID	524664	NAIC NPN	2335048

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/9/2001	5/31/2005
Inactive	Non Resident	Agent	Health	4/9/2001	5/31/2005
* 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	Humana Health Plan, Inc.	300142	Agent - Life	4/9/2001	5/31/2005
Inactive	Humana Insurance Company	301104	Agent - Health	4/9/2001	5/31/2005
Inactive	Humana Insurance Company	301104	Agent - Life	4/9/2001	5/31/2005
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/29/2001	5/31/2005
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/29/2001	5/31/2005
Inactive	Prudential Insurance Company of America	300784	Agent - Health	7/10/2001	5/31/2005
Inactive	Prudential Insurance Company of America	300784	Agent - Life	7/10/2001	5/31/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jennings, Travis Cary	524442	Agent - Health	4/9/2001	3/3/2003
Inactive	Jennings, Travis Cary	524442	Agent - Life	4/9/2001	3/3/2003
Inactive	Pettitt, Mark J	554533	Agent - Health	3/3/2003	5/31/2005
Inactive	Pettitt, Mark J	554533	Agent - Life	3/3/2003	5/31/2005