PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameAIS - Benefit Concepts LLCDOIID651607NAIC NPN9132247
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth6/10/20113/31/2013 
InactiveResidentAgentLife6/10/20113/31/2013 
* 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
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health7/12/20074/11/2011
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life7/12/20074/11/2011
InactiveAmerican General Life Insurance Company301585Agent - Health8/4/20073/31/2011
InactiveAmerican General Life Insurance Company301585Agent - Life8/4/20073/31/2011
InactiveAmerican Heritage Life Insurance Company300272Agent - Health3/28/20083/31/2011
InactiveAmerican Heritage Life Insurance Company300272Agent - Life3/28/20083/31/2011
InactiveAmerican United Life Insurance Company300498Agent - Health7/9/20075/16/2011
InactiveAmerican United Life Insurance Company300498Agent - Life7/9/20075/16/2011
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/1/20073/31/2011
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/1/20073/31/2011
InactiveAnthem Life Insurance Company301209Agent - Health12/1/20073/31/2011
InactiveAnthem Life Insurance Company301209Agent - Life12/1/20073/31/2011
InactiveBaptist Health Plan, Inc.300157Agent - Health5/22/20083/31/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Health11/14/20072/25/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life11/14/20072/25/2011
InactiveCitizens Security Life Insurance Company301257Agent - Health8/14/20073/31/2011
InactiveCitizens Security Life Insurance Company301257Agent - Life8/14/20073/31/2011
InactiveColonial Life and Accident Insurance Company300846Agent - Health6/4/20073/31/2011
InactiveColonial Life and Accident Insurance Company300846Agent - Life6/4/20073/31/2011
InactiveCompBenefits Dental, Inc.591692Agent - Health7/23/20073/31/2011
InactiveCompBenefits Insurance Company301864Agent - Health7/23/20073/31/2011
InactiveCompBenefits Insurance Company301864Agent - Life7/23/20073/31/2011
InactiveConnecticut General Life Insurance Company301333Agent - Health7/11/20073/31/2011
InactiveConnecticut General Life Insurance Company301333Agent - Life7/11/20073/31/2011
InactiveDearborn Life Insurance Company300401Agent - Health8/20/20074/6/2011
InactiveDearborn Life Insurance Company300401Agent - Life8/20/20074/6/2011
InactiveDental Care Plus Inc.301495Agent - Health8/22/20073/31/2011
InactiveDental Concern Inc. (The)301641Agent - Health6/22/20073/31/2011
InactiveEMC National Life Company300388Agent - Health1/17/20133/31/2013
InactiveEMC National Life Company300388Agent - Life1/17/20133/31/2013
InactiveEquitable Financial Life Insurance Company300808Agent - Life8/7/20073/31/2011
InactiveFidelity Security Life Insurance Company300466Agent - Health10/20/20093/31/2011
InactiveFidelity Security Life Insurance Company300466Agent - Life10/20/20093/31/2011
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health7/25/20073/31/2011
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life7/25/20073/31/2011
InactiveGuardian Life Insurance Company of America301316Agent - Health11/14/20072/25/2011
InactiveGuardian Life Insurance Company of America301316Agent - Life11/14/20072/25/2011
InactiveHartford Life and Accident Insurance Company300878Agent - Health2/17/20093/31/2011
InactiveHartford Life and Accident Insurance Company300878Agent - Life2/17/20093/31/2011
InactiveHumana Health Plan, Inc.300142Agent - Health6/21/20073/31/2011
InactiveHumana Insurance Company301104Agent - Health6/21/20073/31/2011
InactiveHumana Insurance Company301104Agent - Life6/21/20073/31/2011
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/21/20073/31/2011
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/21/20073/31/2011
InactiveHumanaDental Insurance Company301457Agent - Health6/22/20073/31/2011
InactiveHumanaDental Insurance Company301457Agent - Life6/22/20073/31/2011
InactiveKanawha Insurance Company300127Agent - Health3/24/20103/31/2011
InactiveKanawha Insurance Company300127Agent - Life3/8/20103/31/2011
InactiveLife Insurance Company of North America300711Agent - Health9/3/20093/31/2011
InactiveLife Insurance Company of North America300711Agent - Life9/3/20093/31/2011
InactiveLincoln Benefit Life Company301110Agent - Health11/30/20111/4/2012
InactiveLincoln Benefit Life Company301110Agent - Life11/30/20111/4/2012
InactiveLincoln National Life Insurance Company (The)301382Agent - Health12/29/20082/10/2011
InactiveLincoln National Life Insurance Company (The)301382Agent - Life12/29/20082/10/2011
InactiveMetLife Investors USA Insurance Company300845Agent - Health8/6/200711/20/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life8/6/200711/20/2009
InactiveMetropolitan Life Insurance Company301948Agent - Health10/22/20123/31/2013
InactiveMetropolitan Life Insurance Company301948Agent - Life10/22/20123/31/2013
InactiveMutual of Omaha Insurance Company301012Agent - Health1/9/20093/31/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Health7/6/201111/3/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life2/20/20093/31/2011
InactivePrincipal Life Insurance Company300129Agent - Health2/23/20092/22/2011
InactivePrincipal Life Insurance Company300129Agent - Life2/23/20092/22/2011
InactiveProvident Life and Accident Insurance Company301525Agent - Health12/11/20073/31/2011
InactiveProvident Life and Accident Insurance Company301525Agent - Life12/11/20073/31/2011
InactivePruco Life Insurance Company300954Agent - Health11/22/20113/31/2013
InactivePruco Life Insurance Company300954Agent - Life11/22/20113/31/2013
InactivePrudential Insurance Company of America300784Agent - Health11/22/20113/31/2013
InactivePrudential Insurance Company of America300784Agent - Life11/22/20113/31/2013
InactiveReliance Standard Life Insurance Company300584Agent - Health9/5/20073/31/2011
InactiveReliance Standard Life Insurance Company300584Agent - Life9/5/20073/31/2011
InactiveShenandoah Life Insurance Company300130Agent - Health3/27/20083/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life3/27/20083/31/2009
InactiveStandard Insurance Company300185Agent - Health6/27/20073/31/2011
InactiveStandard Insurance Company300185Agent - Life6/27/20073/31/2011
InactiveSun Life Assurance Company of Canada301811Agent - Health11/16/20114/5/2012
InactiveSun Life Assurance Company of Canada301811Agent - Life11/16/20114/5/2012
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health11/16/20114/5/2012
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life11/16/20114/5/2012
InactiveTransamerica Life Insurance Company300571Agent - Health1/6/20093/31/2011
InactiveTransamerica Life Insurance Company300571Agent - Life1/6/20093/31/2011
InactiveUNUM Life Insurance Company of America300817Agent - Health12/11/20073/31/2011
InactiveUNUM Life Insurance Company of America300817Agent - Life12/11/20073/31/2011
InactiveUnion Security Insurance Company301844Agent - Health7/30/20073/31/2011
InactiveUnion Security Insurance Company301844Agent - Life7/30/20073/31/2011
InactiveUnited World Life Insurance Company300532Agent - Health1/9/200912/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/9/20093/31/2011
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/9/20093/31/2011
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/6/20114/16/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Life8/20/20073/31/2011
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/20/20073/31/2011
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health7/6/20114/16/2012
InactiveVision Service Plan Insurance Company300526Agent - Health4/16/20083/31/2011
InactiveWest Coast Life Insurance Company301607Agent - Health9/18/20073/31/2011
InactiveWest Coast Life Insurance Company301607Agent - Life9/18/20073/31/2011
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDay, Mark N 390214Agent - Health6/10/20113/31/2013
InactiveDay, Mark N 390214Agent - Life6/10/20113/31/2013
InactiveDees, Michael T 365715Agent - Health6/10/20113/31/2013
InactiveDees, Michael T 365715Agent - Life6/10/20113/31/2013
InactiveLinker, Laurie Harvey 326211Agent - Health4/30/200712/31/2008
InactiveLinker, Laurie Harvey 326211Agent - Life4/30/200712/31/2008
InactivePereiro, Larry Alfred 670174Agent - Health4/1/20086/16/2010
InactivePereiro, Larry Alfred 670174Agent - Life4/1/20086/16/2010
InactiveRouse, Todd Alan 367360Agent - Health12/4/20093/31/2011
InactiveRouse, Todd Alan 367360Agent - Life12/4/20093/31/2011
InactiveSterrett, John Daniel 568448Agent - Health4/30/20073/31/2011
InactiveSterrett, John Daniel 568448Agent - Life4/30/20073/31/2011
InactiveWilson, Laka Fayal 314642Agent - Health4/30/20073/31/2011
InactiveWilson, Laka Fayal 314642Agent - Life4/30/20073/31/2011

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