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DEPARTMENT OF INSURANCE
Affiliations
Name
Legacy Benefits Solutions, LLC
DOIID
627476
NAIC NPN
8575686
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
3/14/2006
3/8/2010
Inactive
Non Resident
Agent
Health
3/14/2006
3/8/2010
* 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 Health Plans of Kentucky, Inc.
300999
Agent - Health
5/19/2006
3/8/2010
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
5/19/2006
3/8/2010
Inactive
Anthem Life Insurance Company
301209
Agent - Health
5/19/2006
3/8/2010
Inactive
Anthem Life Insurance Company
301209
Agent - Life
5/19/2006
3/8/2010
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
9/17/2007
3/8/2010
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/28/2006
3/8/2010
Inactive
Humana Insurance Company
301104
Agent - Health
3/28/2006
3/8/2010
Inactive
Humana Insurance Company
301104
Agent - Life
3/28/2006
3/8/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
3/28/2006
3/8/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
3/28/2006
3/8/2010
Inactive
HumanaDental Insurance Company
301457
Agent - Health
9/17/2007
3/8/2010
Inactive
HumanaDental Insurance Company
301457
Agent - Life
9/17/2007
3/8/2010
Inactive
John Alden Life Insurance Company
300573
Agent - Health
3/11/2008
3/8/2010
Inactive
John Alden Life Insurance Company
300573
Agent - Life
3/11/2008
3/8/2010
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Health
10/18/2009
3/5/2010
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
1/9/2007
3/5/2010
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
1/9/2007
3/8/2010
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
1/9/2007
3/8/2010
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
1/9/2007
3/5/2010
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Bloomer, Carl R
601550
Agent - Health
2/11/2008
3/8/2010
Inactive
Bloomer, Carl R
601550
Agent - Life
2/11/2008
3/8/2010
Inactive
Pascarella, Dennis E
308112
Agent - Health
4/13/2007
2/11/2008
Inactive
Pascarella, Dennis E
308112
Agent - Life
4/13/2007
2/11/2008
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