DEPARTMENT OF INSURANCE
Affiliations
NameAssurance Benefits Group, LLC
DBA : Assurance Financial Group		DOIID650677NAIC NPN9114198
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife3/8/20073/31/2013 
InactiveResidentAgentHealth3/8/20073/31/2013 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health5/2/200712/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20079/21/2010
InactiveAetna Life Insurance Company301140Agent - Health5/2/20079/21/2010
InactiveAetna Life Insurance Company301140Agent - Life5/2/20079/21/2010
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health11/21/20074/15/2011
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life11/21/20074/15/2011
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/11/20073/31/2013
InactiveAnthem Insurance Companies, Inc.300941Agent - Health4/11/200710/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health4/11/20073/31/2013
InactiveAnthem Life Insurance Company301209Agent - Life4/11/20073/31/2013
InactiveBaptist Health Plan, Inc.300157Agent - Health3/26/20073/31/2013
InactiveBerkshire Life Insurance Company of America300983Agent - Health11/28/200712/12/2012
InactiveBerkshire Life Insurance Company of America300983Agent - Life11/28/200712/12/2012
InactiveCompBenefits Dental, Inc.591692Agent - Health4/25/20085/20/2011
InactiveCompBenefits Insurance Company301864Agent - Health4/25/20085/20/2011
InactiveCompBenefits Insurance Company301864Agent - Life4/25/20085/20/2011
InactiveDelaware Life Insurance Company301256Agent - Life11/9/200712/14/2012
InactiveDental Concern Inc. (The)301641Agent - Health9/7/20075/20/2011
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life11/28/200712/12/2012
InactiveGuardian Life Insurance Company of America301316Agent - Health11/28/200712/12/2012
InactiveGuardian Life Insurance Company of America301316Agent - Life11/28/200712/12/2012
InactiveHartford Life and Accident Insurance Company300878Agent - Health3/26/20074/27/2011
InactiveHartford Life and Accident Insurance Company300878Agent - Life3/26/20074/27/2011
InactiveHumana Health Plan, Inc.300142Agent - Health3/30/20075/20/2011
InactiveHumana Insurance Company301104Agent - Health3/30/20075/20/2011
InactiveHumana Insurance Company301104Agent - Life3/30/20075/20/2011
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/30/20075/20/2011
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/30/20075/20/2011
InactiveHumanaDental Insurance Company301457Agent - Health6/1/20075/20/2011
InactiveHumanaDental Insurance Company301457Agent - Life6/1/20075/20/2011
InactiveKanawha Insurance Company300127Agent - Health1/7/20115/20/2011
InactiveKanawha Insurance Company300127Agent - Life1/7/20115/20/2011
InactiveMetropolitan Life Insurance Company301948Agent - Health11/15/20073/31/2013
InactiveMetropolitan Life Insurance Company301948Agent - Life11/15/20073/31/2013
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/16/20083/31/2013
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/16/20083/31/2013
InactiveSun Life Assurance Company of Canada301811Agent - Health11/9/20076/7/2011
InactiveSun Life Assurance Company of Canada301811Agent - Life11/9/20076/7/2011
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health5/10/20106/7/2011
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life5/10/20106/7/2011
InactiveTime Insurance Company300683Agent - Health3/28/200812/14/2010
InactiveTime Insurance Company300683Agent - Life3/28/200812/14/2010
InactiveTransamerica Life Insurance Company300571Agent - Health12/20/200710/14/2010
InactiveTransamerica Life Insurance Company300571Agent - Life12/20/200710/14/2010
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health1/3/20089/24/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life1/3/20089/24/2008
InactiveUNUM Life Insurance Company of America300817Agent - Health1/16/20083/31/2013
InactiveUNUM Life Insurance Company of America300817Agent - Life1/16/20083/31/2013
InactiveUnion Security Insurance Company301844Agent - Health4/11/20075/9/2011
InactiveUnion Security Insurance Company301844Agent - Life4/11/20075/9/2011
InactiveUnitedHealthcare Insurance Company300946Agent - Health6/15/20075/19/2011
InactiveUnitedHealthcare Insurance Company300946Agent - Life6/15/20075/19/2011
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health6/15/20075/19/2011
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/15/20075/19/2011
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCollins, Kevin Todd 385109Agent - Health3/8/20073/31/2013
InactiveCollins, Kevin Todd 385109Agent - Life3/8/20073/31/2013
InactiveDycus, Julee Allison 653723Agent - Health7/26/20073/31/2013
InactiveDycus, Julee Allison 653723Agent - Life7/26/20073/31/2013
InactiveSuvanto, Daniel Lee 340843Agent - Health3/8/20078/17/2010
InactiveSuvanto, Daniel Lee 340843Agent - Life3/8/20078/17/2010
InactiveWright, Randall Farrel 311058Agent - Health9/8/20103/31/2013
InactiveWright, Randall Farrel 311058Agent - Life9/8/20103/31/2013

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