DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	C F C Benefits Agcy Inc	DOIID	564537	NAIC NPN	2425452

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/21/2011	3/31/2015
Inactive	Non Resident	Agent	Health	2/21/2011	3/31/2015
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/20/2013	10/6/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/20/2013	10/6/2014
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/12/2004	4/2/2009
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/12/2004	4/2/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/12/2004	4/2/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/12/2004	4/2/2009
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	3/16/2011	3/31/2015
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	3/16/2011	3/31/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/4/2004	3/31/2009
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/3/2003	3/31/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/3/2003	3/31/2009
Inactive	Security Life Insurance Company of America	300936	Agent - Health	2/28/2005	7/21/2008
Inactive	Security Life Insurance Company of America	300936	Agent - Life	2/28/2005	7/21/2008
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/4/2004	3/31/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/4/2004	3/31/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/26/2014	4/18/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/26/2014	4/18/2014
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/26/2014	4/18/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/26/2014	4/18/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adams, James D	382244	Agent - Health	2/21/2011	3/31/2015
Inactive	Adams, James D	382244	Agent - Life	2/21/2011	3/31/2015