DEPARTMENT OF INSURANCE
Affiliations
NameNational Benefits Brokerage, LLCDOIID615215NAIC NPN8561402
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/6/2005 3/31/2025
ActiveNon ResidentAgentLife9/6/2005 3/31/2025
* 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
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health9/18/2008 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/18/2008 
ActiveAetna Life Insurance Company301140Agent - Life9/18/2008 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health11/1/200610/13/2014
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life11/1/200610/13/2014
InactiveAmeritas Life Insurance Corporation300126Agent - Health10/2/20171/8/2024
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health11/10/2005 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/17/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health11/1/2005 
ActiveAnthem Life Insurance Company301209Agent - Life11/1/2005 
InactiveArcadian Health Plan, Inc.728196Agent - Health6/12/201810/1/2018
ActiveBanner Life Insurance Company301696Agent - Life4/23/2007 
InactiveBerkshire Life Insurance Company of America300983Agent - Health3/27/201910/5/2021
InactiveBerkshire Life Insurance Company of America300983Agent - Life3/27/201910/5/2021
InactiveCHA HMO, Inc.300662Agent - Health11/8/200512/10/2012
ActiveCIGNA Health & Life Insurance Company301783Agent - Health10/18/2022 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCigna Healthcare of Colorado, Inc.1098153Agent - Health10/20/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health4/4/200912/8/2015
InactiveCompBenefits Insurance Company301864Agent - Health4/4/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life4/4/20097/2/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConseco Health Insurance Company301725Agent - Health3/18/200910/1/2010
InactiveConseco Health Insurance Company301725Agent - Life3/18/200910/1/2010
InactiveConseco Insurance Company301202Agent - Health3/18/200910/1/2010
InactiveConseco Insurance Company301202Agent - Life3/18/200910/1/2010
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveDental Care Plus Inc.301495Agent - Health11/18/2005 
InactiveDental Concern Inc. (The)301641Agent - Health11/23/200512/8/2015
InactiveEmpower Annuity Insurance Company of America300259Agent - Health2/8/20062/19/2007
InactiveEmpower Annuity Insurance Company of America300259Agent - Life2/8/20062/19/2007
InactiveFidelity Security Life Insurance Company300466Agent - Health6/3/20132/22/2019
InactiveFidelity Security Life Insurance Company300466Agent - Life6/3/20132/22/2019
ActiveFirst Health Life & Health Insurance Company301735Agent - Health11/18/2014 
InactiveGerber Life Insurance Company300529Agent - Health6/8/20153/28/2016
InactiveGerber Life Insurance Company300529Agent - Life6/8/20153/28/2016
InactiveGolden Rule Insurance Company301943Agent - Health10/12/20096/15/2012
InactiveGolden Rule Insurance Company301943Agent - Life10/12/20096/15/2012
InactiveGuardian Life Insurance Company of America301316Agent - Health2/3/200611/15/2013
InactiveGuardian Life Insurance Company of America301316Agent - Life2/3/200611/15/2013
ActiveHartford Life and Accident Insurance Company300878Agent - Health5/5/2006 
ActiveHartford Life and Accident Insurance Company300878Agent - Life5/5/2006 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health6/12/201810/1/2018
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health4/22/20135/2/2017
InactiveHumana Health Plan, Inc.300142Agent - Health6/12/201810/1/2018
InactiveHumana Insurance Company301104Agent - Health6/12/201810/1/2018
InactiveHumana Insurance Company301104Agent - Life6/12/201810/1/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/12/201810/1/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/12/201810/1/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health6/12/201810/1/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health6/12/201810/1/2018
InactiveHumanaDental Insurance Company301457Agent - Health11/23/20055/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life11/23/20055/13/2013
InactiveJohn Alden Life Insurance Company300573Agent - Health5/17/20073/20/2013
InactiveJohn Alden Life Insurance Company300573Agent - Life5/17/20073/20/2013
InactiveKanawha Insurance Company300127Agent - Health4/11/200810/14/2016
InactiveKanawha Insurance Company300127Agent - Life4/11/200810/14/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/13/20083/29/2011
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/13/20083/29/2011
ActiveMetropolitan Life Insurance Company301948Agent - Health11/7/2005 
ActiveMetropolitan Life Insurance Company301948Agent - Life11/7/2005 
InactiveNew York Life Insurance Company300431Agent - Health9/10/20129/7/2017
InactiveNew York Life Insurance Company300431Agent - Life9/10/20129/7/2017
InactivePacifiCare Life and Health Insurance Company301304Agent - Health3/26/200911/3/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life3/26/20097/17/2012
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/24/20059/9/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/24/20059/9/2015
ActiveReliance Standard Life Insurance Company300584Agent - Health5/29/2011 
ActiveReliance Standard Life Insurance Company300584Agent - Life5/29/2011 
ActiveSilverScript Insurance Company663526Agent - Health10/19/2019 
InactiveStandard Insurance Company300185Agent - Health9/9/200512/5/2022
InactiveStandard Insurance Company300185Agent - Life9/9/200512/5/2022
ActiveSun Life Assurance Company of Canada301811Agent - Health2/8/2021 
ActiveSun Life Assurance Company of Canada301811Agent - Life2/8/2021 
ActiveSuperior Dental Care Inc.300418Agent - Health10/1/2015 
InactiveTime Insurance Company300683Agent - Health8/9/201212/20/2014
InactiveTime Insurance Company300683Agent - Life8/9/201212/20/2014
InactiveUNUM Life Insurance Company of America300817Agent - Health10/24/20059/9/2015
InactiveUNUM Life Insurance Company of America300817Agent - Life10/24/20059/9/2015
InactiveUnion Security Insurance Company301844Agent - Health2/28/20061/8/2021
InactiveUnion Security Insurance Company301844Agent - Life2/28/20061/8/2021
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health3/2/20067/29/2009
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life3/2/20067/29/2009
ActiveUnitedHealthcare Insurance Company300946Agent - Health4/23/2015 
ActiveUnitedHealthcare Insurance Company300946Agent - Life4/23/2015 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/11/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/1/2023 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/10/2015 
InactiveWashington National Insurance Company300587Agent - Health10/1/20101/18/2012
InactiveWashington National Insurance Company300587Agent - Life10/1/20101/18/2012
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/11/20185/13/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBales, Melissa M 670561Agent - Health11/2/2009 
ActiveBales, Melissa M 670561Agent - Life11/2/2009 
InactiveCarnohan, David A 376050Agent - Health9/6/20057/1/2013
InactiveCarnohan, David A 376050Agent - Life9/6/20057/1/2013
ActiveCarnohan, Derek David 317580Agent - Health11/9/2009 
ActiveCarnohan, Derek David 317580Agent - Life11/9/2009 
ActiveDemler, Jeanne L 557615Agent - Health12/12/2008 
ActiveDemler, Jeanne L 557615Agent - Life12/12/2008 
InactiveDuerk, Gerald E 379575Agent - Health11/23/200910/31/2022
InactiveDuerk, Gerald E 379575Agent - Life10/31/201410/31/2022
InactiveGollahon, Frances Carole 540278Agent - Health11/9/20094/1/2013
InactiveGollahon, Frances Carole 540278Agent - Life11/9/20094/1/2013
ActiveGoodwin, Todd Alan 338131Agent - Health10/7/2011 
ActiveGoodwin, Todd Alan 338131Agent - Life10/7/2011 
InactiveHurst, Robert Wayne 365403Agent - Health5/4/20104/30/2014
InactiveHurst, Robert Wayne 365403Agent - Life5/4/20104/30/2014
InactiveLocy, Charles H 327960Agent - Health1/13/20112/12/2014
InactiveLocy, Charles H 327960Agent - Life1/13/20119/30/2016
InactiveMaslow, Arnold Michael 350065Agent - Health12/2/20056/30/2021
InactiveMaslow, Arnold Michael 350065Agent - Life12/2/20056/30/2021
ActiveTye, Roscoe E 338793Agent - Health7/29/2010 
ActiveTye, Roscoe E 338793Agent - Life7/29/2010 

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