DEPARTMENT OF INSURANCE

Affiliations

Name	Corporate Synergies Group LLC DBA : Kinloch Benefits Insurance Services	DOIID	618292	NAIC NPN	8282083

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	4/4/2011	3/31/2027
Active	Non Resident	Agent	Life	4/4/2011	3/31/2027
* 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
Active	Arch Insurance Company	300688	Agent - Health	1/21/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/27/2024
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/24/2012
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/24/2012
Inactive	Humana Insurance Company	301104	Agent - Health	4/20/2006	7/27/2010
Inactive	Humana Insurance Company	301104	Agent - Life	4/20/2006	7/27/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/9/2007	7/27/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/9/2007	7/27/2010
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/20/2006	5/11/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	1/20/2006	5/11/2008
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	11/30/2012
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	11/30/2012
Active	UNUM Life Insurance Company of America	300817	Agent - Health	11/30/2012
Active	UNUM Life Insurance Company of America	300817	Agent - Life	11/30/2012
Inactive	Unimerica Insurance Company	563724	Agent - Health	3/21/2008	7/27/2010
Inactive	Unimerica Insurance Company	563724	Agent - Life	3/24/2008	7/27/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/1/2006	7/27/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/1/2006	7/27/2010
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/1/2006	7/27/2010
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/1/2006	7/27/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Bloom, Andrew R	1000154	Agent - Health
Denied	Bloom, Andrew R	1000154	Agent - Life
Denied	Fallon, Christopher J	719294	Agent - Health
Denied	Fallon, Christopher J	719294	Agent - Life
Denied	Granfors-Hunt, Liisa	634927	Agent - Health
Denied	Granfors-Hunt, Liisa	634927	Agent - Life
Active	Lisa, Michael T	696054	Agent - Health	4/4/2011
Active	Lisa, Michael T	696054	Agent - Life	4/4/2011
Denied	Mangan, Thomas L	722099	Agent - Health
Denied	Mangan, Thomas L	722099	Agent - Life
Denied	Mccartin, Keith	546667	Agent - Health
Denied	Mccartin, Keith	546667	Agent - Life
Denied	Miller, Jeffrey P	688170	Agent - Health
Denied	Miller, Jeffrey P	688170	Agent - Life
Inactive	Raymond, Eric	621963	Agent - Health	1/25/2007	7/27/2010
Inactive	Raymond, Eric	621963	Agent - Life	1/25/2007	7/27/2010
Denied	Schwartz, Steven A	692611	Agent - Health
Denied	Schwartz, Steven A	692611	Agent - Life
Denied	Ward, Stephanie J	732837	Agent - Health
Denied	Ward, Stephanie J	732837	Agent - Life
Denied	Weiss, Ronald P	688104	Agent - Health
Denied	Weiss, Ronald P	688104	Agent - Life