DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sellers, Benjamin Lee	DOIID	621677	NAIC NPN	507337

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/8/2005	4/30/2013
Inactive	Non Resident	Agent	Property	12/8/2005	4/30/2013
Inactive	Non Resident	Agent	Life	12/8/2005	4/30/2013
Inactive	Non Resident	Agent	Health	12/8/2005	4/30/2013
* 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 Life Insurance Company	301209	Agent - Health	1/1/2006	4/30/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/1/2006	4/30/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/6/2012	4/30/2013
Inactive	Delta Dental of Kentucky, Inc.	301166	Agent - Health	1/3/2006	4/30/2013
Inactive	Dental Choice, Inc.	301702	Agent - Health	1/3/2006	4/30/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/6/2012	4/30/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/6/2012	4/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/6/2012	4/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/6/2012	4/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/6/2012	4/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/6/2012	4/30/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/12/2006	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	1/1/2006	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	4/30/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	4/30/2013