DEPARTMENT OF INSURANCE

Affiliations

Name	Corporate One Benefits Agcy Inc	DOIID	607836	NAIC NPN	2425598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/29/2005	11/7/2018
Inactive	Non Resident	Agent	Life	4/29/2005	11/7/2018
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/14/2005	11/3/2016
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/14/2005	10/16/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	5/9/2005	12/19/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	5/9/2005	12/19/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/27/2008	11/27/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/27/2008	11/27/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/27/2008	11/27/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	11/27/2010
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	5/9/2005	12/19/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	5/9/2005	12/19/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/7/2011	7/26/2018
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/7/2011	7/26/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/10/2006	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Health	5/25/2006	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Life	5/25/2006	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/25/2006	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/25/2006	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/27/2008	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/27/2008	11/27/2010
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	5/3/2005	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	5/3/2005	7/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	11/27/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	11/27/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/29/2007	6/19/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/29/2007	6/19/2018
Inactive	Principal Life Insurance Company	300129	Agent - Health	4/20/2010	11/7/2018
Inactive	Principal Life Insurance Company	300129	Agent - Life	4/20/2010	11/7/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/22/2014	6/25/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/22/2014	6/25/2018
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	3/18/2009	7/3/2018
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	3/18/2009	7/3/2018
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	3/18/2009	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	3/18/2009	8/22/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/22/2014	6/25/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/22/2014	6/25/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burns, Ronald R	604120	Agent - Health	4/29/2005	11/7/2018
Inactive	Burns, Ronald R	604120	Agent - Life	4/29/2005	11/7/2018
Inactive	Dandurand, Steven	623012	Agent - Health	4/19/2010	8/22/2011
Inactive	Dandurand, Steven	623012	Agent - Life	4/19/2010	8/22/2011
Inactive	Dobrzykowski, David D	606214	Agent - Health	6/27/2005	1/18/2007
Inactive	Dobrzykowski, David D	606214	Agent - Life	6/27/2005	1/18/2007