DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Total Benefits Planning Agency Inc	DOIID	621860	NAIC NPN	2255933

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/12/2005	3/31/2009
Inactive	Non Resident	Agent	Life	12/12/2005	3/31/2009
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	6/24/2008	3/31/2009
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/24/2008	3/31/2009
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/24/2008	3/31/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	3/31/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/5/2006	3/6/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/5/2006	3/6/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/8/2006	3/31/2009
Inactive	Humana Insurance Company	301104	Agent - Health	3/8/2006	3/31/2009
Inactive	Humana Insurance Company	301104	Agent - Life	3/8/2006	3/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/24/2008	3/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/24/2008	3/31/2009
Inactive	John Alden Life Insurance Company	300573	Agent - Health	12/22/2005	3/31/2009
Inactive	John Alden Life Insurance Company	300573	Agent - Life	12/22/2005	3/31/2009
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	3/31/2009
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	3/31/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/17/2006	3/31/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/17/2006	3/31/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/17/2006	3/31/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/17/2006	3/31/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Quigley, Christy A	597094	Agent - Health	12/12/2005	3/31/2009
Inactive	Quigley, Christy A	597094	Agent - Life	12/12/2005	3/31/2009
Inactive	Quigley, Thomas J	385665	Agent - Health	12/12/2005	7/13/2006
Inactive	Quigley, Thomas J	385665	Agent - Life	12/12/2005	7/13/2006