DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Diversified Benefits, Inc.	DOIID	583049	NAIC NPN	7976714

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/12/2024		3/31/2026
Active	Resident	Agent	Health	6/12/2024		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
Active	American Heritage Life Insurance Company	300272	Agent - Health	6/12/2024
Active	American Heritage Life Insurance Company	300272	Agent - Life	6/12/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/11/2005	11/1/2011
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/1/2005	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/11/2005	5/25/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/1/2005	5/25/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Atkisson, James Douglas	325125	Agent - Health	1/13/2004	2/17/2012
Inactive	Atkisson, James Douglas	325125	Agent - Life	1/13/2004	2/17/2012
Inactive	Bucalo, Lisa Michelle	356249	Agent - Health	3/15/2005	1/22/2007
Inactive	Bucalo, Lisa Michelle	356249	Agent - Life	3/15/2005	1/22/2007
Inactive	Haney, Michael B	392264	Agent - Health	1/13/2004	1/13/2005
Inactive	Haney, Michael B	392264	Agent - Life	1/13/2004	1/13/2005
Inactive	Jeter, Leigh Ann	519972	Agent - Health	1/13/2004	1/13/2005
Inactive	Jeter, Leigh Ann	519972	Agent - Life	1/13/2004	1/13/2005
Inactive	Linker, Laurie Harvey	326211	Agent - Health	1/13/2004	1/13/2005
Inactive	Linker, Laurie Harvey	326211	Agent - Life	1/13/2004	1/13/2005
Inactive	Meyer, Judith Armstrong	313167	Agent - Health	1/13/2004	1/22/2007
Inactive	Meyer, Judith Armstrong	313167	Agent - Life	1/13/2004	1/22/2007
Inactive	Moloney, Willial Edward	315505	Agent - Health	1/13/2004	6/30/2011
Inactive	Moloney, Willial Edward	315505	Agent - Life	1/13/2004	6/30/2011
Inactive	Murner, Christopher	319106	Agent - Health	1/13/2004	1/22/2007
Inactive	Murner, Christopher	319106	Agent - Life	1/13/2004	1/22/2007
Active	Ridoux, John F	305610	Agent - Health	6/12/2024
Active	Ridoux, John F	305610	Agent - Life	6/12/2024