DEPARTMENT OF INSURANCE
Affiliations
NameStrategic Employee Benefit Services of Kentucky-Indiana IncDOIID618184NAIC NPN8621856
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife10/26/20053/31/2015 
InactiveResidentAgentHealth10/26/20053/31/2015 
* 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
InactiveAetna Health Inc.300694Agent - Health2/8/200612/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20077/30/2012
InactiveAetna Life Insurance Company301140Agent - Health2/8/20067/30/2012
InactiveAetna Life Insurance Company301140Agent - Life2/8/20067/30/2012
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health3/23/20095/14/2015
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life3/23/20095/14/2015
InactiveAmerican Heritage Life Insurance Company300272Agent - Health8/27/200910/10/2013
InactiveAmerican Heritage Life Insurance Company300272Agent - Life8/27/200910/10/2013
InactiveAmerican United Life Insurance Company300498Agent - Health8/21/20065/17/2015
InactiveAmerican United Life Insurance Company300498Agent - Life8/21/20065/17/2015
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/20/20053/1/2014
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/20/200510/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health12/1/20053/1/2014
InactiveAnthem Life Insurance Company301209Agent - Life12/1/20053/1/2014
InactiveBaptist Health Plan, Inc.300157Agent - Health11/29/20053/31/2015
InactiveBerkshire Life Insurance Company of America300983Agent - Health12/20/200512/13/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life12/20/200512/13/2011
InactiveBoston Mutual Life Insurance Company300143Agent - Health9/11/20083/31/2015
InactiveBoston Mutual Life Insurance Company300143Agent - Life9/11/20083/31/2015
InactiveCHA HMO, Inc.300662Agent - Health11/28/200512/10/2012
InactiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health12/5/20133/31/2015
InactiveCIGNA Health & Life Insurance Company301783Agent - Health12/5/20133/31/2015
InactiveCMD Health, Inc.702047Agent - Health4/24/20123/31/2013
InactiveCitizens Security Life Insurance Company301257Agent - Health2/15/20063/31/2015
InactiveCitizens Security Life Insurance Company301257Agent - Life2/15/20063/31/2015
InactiveColonial Life and Accident Insurance Company300846Agent - Health9/1/20065/7/2015
InactiveColonial Life and Accident Insurance Company300846Agent - Life9/1/20065/7/2015
InactiveCompBenefits Dental, Inc.591692Agent - Health4/25/20082/25/2014
InactiveCompBenefits Insurance Company301864Agent - Health4/25/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life4/25/20087/2/2013
InactiveCompanion Life Insurance Company300191Agent - Health10/21/20133/31/2015
InactiveCompanion Life Insurance Company300191Agent - Life10/21/20133/31/2015
InactiveConnecticut General Life Insurance Company301333Agent - Health12/5/20133/31/2015
InactiveConnecticut General Life Insurance Company301333Agent - Life12/5/20133/31/2015
InactiveContinental American Insurance Company301700Agent - Health11/19/20113/31/2015
InactiveContinental American Insurance Company301700Agent - Life11/19/20113/31/2015
InactiveDearborn Life Insurance Company300401Agent - Health3/19/201212/30/2013
InactiveDearborn Life Insurance Company300401Agent - Life3/19/201212/30/2013
InactiveDental Care Plus Inc.301495Agent - Health2/27/20066/17/2014
InactiveDental Concern Inc. (The)301641Agent - Health1/6/20062/25/2014
InactiveFidelity Security Life Insurance Company300466Agent - Health10/18/20073/31/2015
InactiveFidelity Security Life Insurance Company300466Agent - Life10/18/20073/31/2015
InactiveGolden Rule Insurance Company301943Agent - Health11/20/200812/13/2012
InactiveGolden Rule Insurance Company301943Agent - Life11/20/200812/13/2012
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life9/5/200712/22/2014
InactiveGuardian Life Insurance Company of America301316Agent - Health12/20/200512/22/2014
InactiveGuardian Life Insurance Company of America301316Agent - Life12/20/200512/22/2014
InactiveHartford Life Group Insurance Company301708Agent - Health4/17/200612/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life4/17/200612/31/2006
InactiveHartford Life and Accident Insurance Company300878Agent - Health4/17/20063/31/2015
InactiveHartford Life and Accident Insurance Company300878Agent - Life4/17/20063/31/2015
InactiveHealth Resources Inc.301210Agent - Health8/3/201112/31/2014
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/3/20132/25/2014
InactiveHumana Health Plan, Inc.300142Agent - Health1/6/20062/25/2014
InactiveHumana Insurance Company301104Agent - Health1/6/20062/25/2014
InactiveHumana Insurance Company301104Agent - Life1/6/20062/25/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/6/20062/25/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/6/20062/25/2014
InactiveHumanaDental Insurance Company301457Agent - Health1/6/20065/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life1/6/20065/13/2013
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health2/1/20067/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life2/1/20067/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health2/20/20067/19/2010
InactiveJohn Alden Life Insurance Company300573Agent - Life2/20/20067/19/2010
InactiveKanawha Insurance Company300127Agent - Health2/15/20102/25/2014
InactiveKanawha Insurance Company300127Agent - Life1/25/20102/25/2014
InactiveKentucky Health Cooperative, Inc.798780Agent - Health10/7/20133/31/2015
InactiveLincoln National Life Insurance Company (The)301382Agent - Health6/29/20075/1/2015
InactiveLincoln National Life Insurance Company (The)301382Agent - Life6/29/20075/1/2015
InactiveMetropolitan Life Insurance Company301948Agent - Health5/2/20063/31/2015
InactiveMetropolitan Life Insurance Company301948Agent - Life5/2/20063/31/2015
InactiveMutual of Omaha Insurance Company301012Agent - Health9/11/200912/17/2012
InactivePartnerRe Life Reinsurance Company of America300550Agent - Health4/20/201011/29/2011
InactivePartnerRe Life Reinsurance Company of America300550Agent - Life4/20/201011/29/2011
InactivePrincipal Life Insurance Company300129Agent - Health11/3/20053/31/2015
InactivePrincipal Life Insurance Company300129Agent - Life11/3/20053/31/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Health2/16/20063/31/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Life2/16/20063/31/2015
InactivePruco Life Insurance Company300954Agent - Health3/6/200612/22/2008
InactivePruco Life Insurance Company300954Agent - Life3/6/200612/22/2008
InactivePrudential Insurance Company of America300784Agent - Health3/24/20063/31/2015
InactivePrudential Insurance Company of America300784Agent - Life3/24/20063/31/2015
InactiveReliance Standard Life Insurance Company300584Agent - Health10/3/20113/31/2015
InactiveReliance Standard Life Insurance Company300584Agent - Life10/3/20113/31/2015
InactiveStandard Insurance Company300185Agent - Health4/7/20063/31/2015
InactiveStandard Insurance Company300185Agent - Life4/7/20063/31/2015
InactiveSun Life Assurance Company of Canada301811Agent - Health6/22/20093/31/2015
InactiveSun Life Assurance Company of Canada301811Agent - Life6/22/20093/31/2015
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health9/11/20068/22/2011
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life9/11/20068/22/2011
InactiveTime Insurance Company300683Agent - Health8/30/20061/30/2014
InactiveTime Insurance Company300683Agent - Life8/30/20061/30/2014
InactiveTransamerica Life Insurance Company300571Agent - Health4/6/20063/31/2015
InactiveTransamerica Life Insurance Company300571Agent - Life4/6/20063/31/2015
InactiveUNUM Life Insurance Company of America300817Agent - Health2/16/20063/31/2015
InactiveUNUM Life Insurance Company of America300817Agent - Life2/16/20063/31/2015
InactiveUnion Security Insurance Company301844Agent - Health3/6/20065/28/2015
InactiveUnion Security Insurance Company301844Agent - Life3/6/20065/28/2015
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Health9/26/20061/7/2013
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health9/26/20061/7/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Health9/11/200912/17/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/11/200912/17/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/15/200611/14/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/15/200611/14/2014
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/15/200611/14/2014
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/15/200611/14/2014
InactiveVision Service Plan Insurance Company300526Agent - Health8/12/20103/31/2015
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArzu, Dawn Marie 650220Agent - Health1/8/20094/12/2011
InactiveArzu, Dawn Marie 650220Agent - Life1/8/20094/12/2011
InactiveBurton, Brandi Janine 628539Agent - Health5/28/20099/3/2009
InactiveBurton, Brandi Janine 628539Agent - Life5/5/20099/3/2009
InactiveBush, Suzanne Kimberly 608897Agent - Health11/9/20061/8/2009
InactiveBush, Suzanne Kimberly 608897Agent - Life11/9/20061/8/2009
InactiveDuffy, Daniel Thomas 615124Agent - Health5/20/20103/31/2015
InactiveDuffy, Daniel Thomas 615124Agent - Life5/20/20103/31/2015
InactiveJohnson, Ruscinda Dawn 626796Agent - Health12/29/20091/31/2014
InactiveJohnson, Ruscinda Dawn 626796Agent - Life12/29/20091/31/2014
InactiveKelley, Roger J 324097Agent - Health10/26/20053/31/2015
InactiveKelley, Roger J 324097Agent - Life10/26/20053/31/2015
InactiveLee, John Becker 309885Agent - Health10/26/20051/8/2009
InactiveLee, John Becker 309885Agent - Life10/26/20051/8/2009
InactiveMcintyre, Lori Elaine 509178Agent - Health12/29/200910/14/2013
InactiveMcintyre, Lori Elaine 509178Agent - Life12/29/200910/14/2013
InactiveMiller, David G 303912Agent - Health1/8/20099/3/2009
InactiveMiller, David G 303912Agent - Life1/8/20099/3/2009
InactiveReynolds, Timothy Lee 389339Agent - Health3/18/200912/28/2009
InactiveReynolds, Timothy Lee 389339Agent - Life3/18/200912/28/2009
InactiveRobison, Patrick C 337407Agent - Health8/7/20063/11/2013
InactiveRobison, Patrick C 337407Agent - Life8/7/20063/11/2013
InactiveSkaggs, Cindy A 512369Agent - Health1/8/20099/3/2009
InactiveSkaggs, Cindy A 512369Agent - Life1/8/20099/3/2009
InactiveTincher, Ruth B 581798Agent - Health1/8/20092/13/2014
InactiveTincher, Ruth B 581798Agent - Life1/8/20092/13/2014
InactiveWarren, Patricia E 723777Agent - Health3/30/201010/25/2010
InactiveWarren, Patricia E 723777Agent - Life3/30/201010/25/2010
InactiveWatson, Beverly 543200Agent - Health3/11/20133/31/2015
InactiveWatson, Beverly 543200Agent - Life3/11/20133/31/2015
InactiveWebber, Bonita C 588462Agent - Health5/12/20083/11/2013
InactiveWebber, Bonita C 588462Agent - Life5/28/20083/11/2013
InactiveWitmeier, Robyn Michelle 611957Agent - Health5/20/20105/25/2010
InactiveWitmeier, Robyn Michelle 611957Agent - Life5/20/20105/25/2010
InactiveWolfe, Susan M 362768Agent - Health11/7/20051/8/2009
InactiveWolfe, Susan M 362768Agent - Life11/7/20051/8/2009

© Commonwealth of Kentucky. All rights reserved.