PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameCorporate One Benefits Agcy IncDOIID607836NAIC NPN2425598
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth4/29/200511/7/2018 
InactiveNon ResidentAgentLife4/29/200511/7/2018 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/14/200511/3/2016
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/14/200510/16/2012
InactiveBerkshire Life Insurance Company of America300983Agent - Health5/9/200512/19/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life5/9/200512/19/2011
InactiveCompBenefits Dental, Inc.591692Agent - Health6/27/200811/27/2010
InactiveCompBenefits Insurance Company301864Agent - Health6/27/200811/27/2010
InactiveCompBenefits Insurance Company301864Agent - Life6/27/200811/27/2010
InactiveDental Concern Inc. (The)301641Agent - Health6/21/201011/27/2010
InactiveGuardian Life Insurance Company of America301316Agent - Health5/9/200512/19/2011
InactiveGuardian Life Insurance Company of America301316Agent - Life5/9/200512/19/2011
InactiveHartford Life and Accident Insurance Company300878Agent - Health9/7/20117/26/2018
InactiveHartford Life and Accident Insurance Company300878Agent - Life9/7/20117/26/2018
InactiveHumana Health Plan, Inc.300142Agent - Health4/10/200611/27/2010
InactiveHumana Insurance Company301104Agent - Health5/25/200611/27/2010
InactiveHumana Insurance Company301104Agent - Life5/25/200611/27/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/25/200611/27/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/25/200611/27/2010
InactiveHumanaDental Insurance Company301457Agent - Health6/27/200811/27/2010
InactiveHumanaDental Insurance Company301457Agent - Life6/27/200811/27/2010
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health5/3/20057/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life5/3/20057/2/2007
InactiveKanawha Insurance Company300127Agent - Health4/11/200811/27/2010
InactiveKanawha Insurance Company300127Agent - Life4/11/200811/27/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Health6/29/20076/19/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Life6/29/20076/19/2018
InactivePrincipal Life Insurance Company300129Agent - Health4/20/201011/7/2018
InactivePrincipal Life Insurance Company300129Agent - Life4/20/201011/7/2018
InactiveProvident Life and Accident Insurance Company301525Agent - Health12/22/20146/25/2018
InactiveProvident Life and Accident Insurance Company301525Agent - Life12/22/20146/25/2018
InactiveSun Life Assurance Company of Canada301811Agent - Health3/18/20097/3/2018
InactiveSun Life Assurance Company of Canada301811Agent - Life3/18/20097/3/2018
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health3/18/20098/22/2011
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life3/18/20098/22/2011
InactiveUNUM Life Insurance Company of America300817Agent - Health12/22/20146/25/2018
InactiveUNUM Life Insurance Company of America300817Agent - Life12/22/20146/25/2018
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBurns, Ronald R 604120Agent - Health4/29/200511/7/2018
InactiveBurns, Ronald R 604120Agent - Life4/29/200511/7/2018
InactiveDandurand, Steven 623012Agent - Health4/19/20108/22/2011
InactiveDandurand, Steven 623012Agent - Life4/19/20108/22/2011
InactiveDobrzykowski, David D 606214Agent - Health6/27/20051/18/2007
InactiveDobrzykowski, David D 606214Agent - Life6/27/20051/18/2007

© Commonwealth of Kentucky. All rights reserved.