PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameEncompass Benefits & Management Services, LLCDOIID567945NAIC NPN7662230
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth4/14/20031/31/2013 
InactiveResidentAgentLife4/14/20031/31/2013 
* 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
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health5/19/20038/6/2010
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life5/19/20038/6/2010
InactiveBanner Life Insurance Company301696Agent - Life7/11/20031/31/2013
InactiveBaptist Health Plan, Inc.300157Agent - Health1/24/20071/31/2013
InactiveC.M. Life Insurance Company301335Agent - Health4/5/200411/16/2012
InactiveC.M. Life Insurance Company301335Agent - Life4/5/200411/16/2012
InactiveCHA HMO, Inc.300662Agent - Health5/9/20031/31/2013
InactiveCompBenefits Insurance Company301864Agent - Health3/26/20101/31/2013
InactiveCompBenefits Insurance Company301864Agent - Life3/26/20101/31/2013
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20091/31/2013
InactiveFirst Colony Life Insurance Company301179Agent - Health6/12/20031/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life6/12/20031/1/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/20071/31/2013
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/20071/31/2013
InactiveHartford Life and Accident Insurance Company300878Agent - Health4/24/20031/31/2013
InactiveHartford Life and Accident Insurance Company300878Agent - Life4/24/20031/31/2013
InactiveHumana Health Plan, Inc.300142Agent - Health3/29/20071/31/2013
InactiveHumana Insurance Company301104Agent - Health3/29/20071/31/2013
InactiveHumana Insurance Company301104Agent - Life3/29/20071/31/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/29/20071/31/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/29/20071/31/2013
InactiveHumanaDental Insurance Company301457Agent - Health3/26/20102/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life3/26/20102/23/2012
InactiveLife Insurance Company of North America300711Agent - Health4/8/20101/31/2013
InactiveLife Insurance Company of North America300711Agent - Life4/8/20101/31/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Health1/23/20091/31/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Life1/23/20091/31/2013
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health4/5/200411/16/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life4/5/200411/16/2012
InactiveMetropolitan Life Insurance Company301948Agent - Health5/8/200312/14/2012
InactiveMetropolitan Life Insurance Company301948Agent - Life5/8/200312/14/2012
InactiveMidland National Life Insurance Company300923Agent - Health7/30/20031/22/2009
InactiveMidland National Life Insurance Company300923Agent - Life7/30/20031/22/2009
InactivePrincipal Life Insurance Company300129Agent - Health2/24/20091/31/2013
InactivePrincipal Life Insurance Company300129Agent - Life2/24/20091/31/2013
InactivePrudential Insurance Company of America300784Agent - Health5/27/20031/31/2013
InactivePrudential Insurance Company of America300784Agent - Life5/27/20031/31/2013
InactiveStandard Insurance Company300185Agent - Health3/24/20041/31/2013
InactiveStandard Insurance Company300185Agent - Life3/24/20041/31/2013
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveStacy, Dustin 524893Agent - Health5/7/20031/31/2013
InactiveStacy, Dustin 524893Agent - Life5/7/20031/31/2013

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