DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Corporate Benefit Resources, Inc.	DOIID	545033	NAIC NPN	7223456

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/12/2002	8/31/2007
Inactive	Resident	Agent	Life	3/12/2002	8/31/2007
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Protective Life Insurance Company	300638	Agent - Health	3/12/2002	8/31/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/12/2002	8/31/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Myers, Roy Lee	369973	Agent - Health	3/12/2002	8/21/2007
Inactive	Myers, Roy Lee	369973	Agent - Life	3/12/2002	8/21/2007
Inactive	Zurkuhlen, Donna Maria	343164	Agent - Health	3/12/2002	4/22/2002
Inactive	Zurkuhlen, Donna Maria	343164	Agent - Life	3/12/2002	4/22/2002