DEPARTMENT OF INSURANCE

Affiliations

Name	Northwestern Benefit Corporation Of Ga	DOIID	639625	NAIC NPN	8666321

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/4/2007	3/31/2021
Inactive	Non Resident	Agent	Health	4/4/2007	3/31/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/2/2012	3/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/2/2012	3/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/2/2012	3/31/2021
Inactive	American Continental Insurance Company	643130	Agent - Health	10/18/2012	12/23/2013
Inactive	American Continental Insurance Company	643130	Agent - Life	10/18/2012	3/31/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/22/2011	12/10/2020
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/22/2011	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/22/2011	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/22/2011	12/10/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/13/2017	7/11/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/13/2017	7/11/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/2/2013	12/8/2015
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/2/2013	12/19/2019
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/14/2012	10/22/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/23/2013	7/17/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/23/2013	7/17/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/26/2017	12/19/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/26/2017	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/13/2013	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/19/2007	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	4/19/2007	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	4/19/2007	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/17/2007	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/17/2007	12/19/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/17/2007	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/17/2007	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/5/2015	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/5/2015	8/9/2018
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/26/2017	3/31/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/26/2017	3/31/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/29/2012	1/26/2014
Inactive	Omaha Insurance Company	751908	Agent - Health	11/29/2012	1/26/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/2/2007	8/27/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/2/2007	8/27/2019
Inactive	Sterling Life Insurance Company	301947	Agent - Health	11/7/2012	10/21/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/2/2007	8/27/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/2/2007	8/27/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/29/2012	1/26/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/29/2012	1/26/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/11/2012	5/6/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/11/2012	5/6/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Asbury, David H.	536129	Agent - Health	4/4/2007	3/31/2021
Inactive	Asbury, David H.	536129	Agent - Life	4/4/2007	3/31/2021