PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameNational Benefits Agency, Inc.DOIID539396NAIC NPN2779892
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth11/16/20012/5/2007 
InactiveNon ResidentAgentLife11/16/20012/5/2007 
* 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
InactiveAetna Health Inc.300694Agent - Health5/17/20042/5/2007
InactiveAetna Life Insurance Company301140Agent - Health5/17/20042/5/2007
InactiveAetna Life Insurance Company301140Agent - Life5/17/20042/5/2007
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health12/21/200111/1/2006
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life12/21/200111/1/2006
InactiveAmerican Fidelity Assurance Company301004Agent - Health12/26/20017/31/2006
InactiveAmerican Fidelity Assurance Company301004Agent - Life12/26/20017/31/2006
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health2/10/20052/5/2007
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life2/10/20052/5/2007
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health2/22/20022/5/2007
InactiveAnthem Insurance Companies, Inc.300941Agent - Health2/22/20022/5/2007
InactiveAnthem Life Insurance Company301209Agent - Health2/22/20022/5/2007
InactiveAnthem Life Insurance Company301209Agent - Life2/22/20022/5/2007
InactiveCHA HMO, Inc.300662Agent - Health10/8/200211/23/2005
InactiveCanada Life Assurance Company301192Agent - Health6/24/200212/15/2004
InactiveCanada Life Assurance Company301192Agent - Life6/24/200212/15/2004
InactiveContinental Casualty Company301019Agent - Health11/12/20028/10/2005
InactiveDental Concern Inc. (The)301641Agent - Health6/17/200212/28/2005
InactiveHartford Life Group Insurance Company301708Agent - Health11/12/200212/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life11/12/200212/31/2006
InactiveHartford Life and Accident Insurance Company300878Agent - Health4/15/20042/5/2007
InactiveHartford Life and Accident Insurance Company300878Agent - Life4/15/20042/5/2007
InactiveHumana Health Plan, Inc.300142Agent - Health11/16/200112/28/2005
InactiveHumana Insurance Company301104Agent - Health11/16/200112/28/2005
InactiveHumana Insurance Company301104Agent - Life11/16/200112/28/2005
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/29/200412/28/2005
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/29/200412/28/2005
InactiveHumanaDental Insurance Company301457Agent - Health5/23/200212/28/2005
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health7/9/20042/5/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life5/17/20042/5/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health5/14/200211/14/2006
InactiveJohn Alden Life Insurance Company300573Agent - Life5/14/200211/14/2006
InactiveMetropolitan Life Insurance Company301948Agent - Health8/27/20042/5/2007
InactiveMetropolitan Life Insurance Company301948Agent - Life8/27/20042/5/2007
InactivePan-American Life Insurance Company301530Agent - Health4/1/20032/5/2007
InactivePan-American Life Insurance Company301530Agent - Life4/1/20032/5/2007
InactiveUnion Security Insurance Company301844Agent - Health8/5/20031/3/2006
InactiveUnion Security Insurance Company301844Agent - Life8/5/20031/3/2006
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health1/11/20056/20/2006
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life1/11/20056/20/2006
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/18/20022/5/2007
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/18/20022/5/2007
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/18/20022/5/2007
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health1/25/20022/5/2007
InactiveWellpoint Life and Health Insurance Company300469Agent - Health4/22/20052/5/2007
InactiveWellpoint Life and Health Insurance Company300469Agent - Life4/22/20052/5/2007
InactiveWilcac Life Insurance Company301573Agent - Health11/12/200212/6/2004
InactiveWilcac Life Insurance Company301573Agent - Life11/12/200212/6/2004
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCarnohan, David A 376050Agent - Health11/17/20032/5/2007
InactiveCarnohan, David A 376050Agent - Life11/17/20032/5/2007
InactiveCarnohan, Derek David 317580Agent - Health3/26/20032/5/2007
InactiveCarnohan, Derek David 317580Agent - Life3/26/20032/5/2007
InactiveZimmerman, David Alan 386557Agent - Health3/4/20052/5/2007
InactiveZimmerman, David Alan 386557Agent - Life3/4/20052/5/2007

© Commonwealth of Kentucky. All rights reserved.