DEPARTMENT OF INSURANCE

Affiliations

Name	Partners for Benefit Solutions, Inc.	DOIID	536476	NAIC NPN	3939412

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/4/2001	5/31/2005
Inactive	Non Resident	Agent	Health	9/4/2001	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	Aetna Health Inc.	300694	Agent - Health	1/25/2002	3/9/2005
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/25/2002	3/9/2005
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/25/2002	3/9/2005
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/10/2005	5/31/2005
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/10/2005	5/31/2005
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/14/2003	5/31/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	7/26/2002	5/31/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	7/26/2002	5/31/2005
Inactive	Combined Insurance Company of America	301472	Agent - Health	12/20/2001	5/31/2005
Inactive	Combined Insurance Company of America	301472	Agent - Life	12/20/2001	5/31/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Health	3/18/2003	5/31/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/18/2003	5/31/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	3/27/2003	5/31/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	3/27/2003	5/31/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	7/26/2002	5/31/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	7/26/2002	5/31/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/4/2001	4/28/2005
Inactive	Humana Insurance Company	301104	Agent - Health	9/4/2001	4/28/2005
Inactive	Humana Insurance Company	301104	Agent - Life	9/4/2001	4/28/2005
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2004	4/28/2005
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2004	4/28/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	8/9/2003	2/20/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	8/9/2003	2/20/2005
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	10/20/2003	5/31/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/23/2002	5/31/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/23/2002	5/31/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/23/2002	5/31/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bechtold, Annette Marie	378322	Agent - Health	9/4/2001	5/31/2005
Inactive	Bechtold, Annette Marie	378322	Agent - Life	9/4/2001	5/31/2005