DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Corporate Benefit Management Group, Inc.	DOIID	589621	NAIC NPN	8094942

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/17/2004	3/31/2006
Inactive	Resident	Agent	Health	5/17/2004	3/31/2006
* 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	Transamerica Assurance Company	300893	Agent - Health	7/8/2004	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	7/8/2004	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/8/2004	3/31/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/8/2004	3/31/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Roberts, Anthony Scott	332520	Agent - Health	5/17/2004	3/31/2006
Inactive	Roberts, Anthony Scott	332520	Agent - Life	5/17/2004	3/31/2006
Inactive	SnodGrass, Steven Lloyd	536715	Agent - Health	5/17/2004	3/31/2006
Inactive	SnodGrass, Steven Lloyd	536715	Agent - Life	5/17/2004	3/31/2006
Inactive	Snodgrass, Sherman Lloyd	341093	Agent - Health	5/17/2004	3/31/2006
Inactive	Snodgrass, Sherman Lloyd	341093	Agent - Life	5/17/2004	3/31/2006