DEPARTMENT OF INSURANCE

Affiliations

Name	Professional Benefit Services Inc	DOIID	548121	NAIC NPN	7223501

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	5/9/2002	3/31/2026
Active	Resident	Agent	Life	5/9/2002	3/31/2026
* 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	7/28/2005	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/23/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/28/2005	9/23/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/28/2005	9/23/2010
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	5/27/2003
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	5/27/2003
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/6/2015
Active	Anthem Life Insurance Company	301209	Agent - Health	11/6/2015
Active	Anthem Life Insurance Company	301209	Agent - Life	11/6/2015
Active	Banner Life Insurance Company	301696	Agent - Life	7/15/2011
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	1/21/2004	3/31/2019
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/21/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/18/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/11/2010	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/11/2010	7/2/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/23/2009	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/23/2009	6/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/17/2021	12/12/2024
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	6/17/2003	3/7/2011
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	6/17/2003	3/7/2011
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/22/2004
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/22/2004
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/16/2021	12/12/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/16/2021	12/12/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/22/2016	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	9/7/2015	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	7/23/2003	8/31/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/16/2021	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/16/2021	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/16/2021	12/12/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/16/2021	12/12/2024
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/2/2007	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/2/2007	5/13/2013
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	1/24/2005
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/24/2005
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/11/2010	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/11/2010	12/5/2014
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	1/20/2015	10/29/2015
Active	Life Insurance Company of North America	300711	Agent - Health	10/23/2009
Active	Life Insurance Company of North America	300711	Agent - Life	10/23/2009
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/25/2016
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/25/2016
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/1/2012	11/14/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/23/2002	1/26/2014
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/19/2011	12/2/2021
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/19/2011	12/2/2021
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/4/2011	3/1/2017
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	5/1/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	5/1/2024
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	4/19/2004
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	4/19/2004
Active	Starmount Life Insurance Company	628031	Agent - Health	5/1/2024
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	5/1/2009
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	5/1/2009
Active	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	5/1/2009
Active	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	5/1/2009
Active	Talcott Resolution Life Insurance Company	301759	Agent - Health	6/22/2004
Active	Talcott Resolution Life Insurance Company	301759	Agent - Life	6/22/2004
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	5/3/2011	6/20/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	5/1/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	5/1/2024
Inactive	Union Security Insurance Company	301844	Agent - Health	8/29/2016	2/24/2021
Inactive	Union Security Insurance Company	301844	Agent - Life	8/29/2016	2/24/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/9/2002	1/26/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/9/2002	1/26/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/20/2018	12/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/20/2018	12/17/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/18/2006	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/18/2006	11/30/2016
Active	Unum Insurance Company	301499	Agent - Health	5/1/2024
Active	Unum Insurance Company	301499	Agent - Life	5/1/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Pearse, Margaret LilliAnn	547295	Agent - Health	2/17/2003
Active	Pearse, Margaret LilliAnn	547295	Agent - Life	2/17/2003
Active	Pearse, Timothy Raymond	376618	Agent - Health	5/9/2002
Active	Pearse, Timothy Raymond	376618	Agent - Life	5/9/2002