DEPARTMENT OF INSURANCE

Affiliations

Name	Employee Benefit Services Of America DBA : Employee Benefit Services of America	DOIID	653050	NAIC NPN	5328246

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Property
Denied	Non Resident	Agent	Casualty
Inactive	Non Resident	Agent	Health	8/6/2007	3/31/2015
Inactive	Non Resident	Agent	Life	8/6/2007	3/31/2015
* 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	10/1/2007	3/31/2015
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/1/2007	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/1/2007	3/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/2007	3/31/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/15/2011	9/13/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/15/2011	9/13/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/11/2011	10/16/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	2/3/2009	3/22/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	2/3/2009	3/22/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	10/16/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/15/2011	4/10/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/15/2011	4/10/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/3/2009	10/16/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/5/2008	10/16/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/5/2008	10/16/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/3/2009	10/16/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/3/2009	10/16/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/5/2008	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/5/2008	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/3/2009	10/16/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/3/2009	10/16/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Miller, James Charles	651881	Agent - Health
Denied	Miller, James Charles	651881	Agent - Life
Denied	Smith, Shari Lynn	657719	Agent - Casualty
Inactive	Smith, Shari Lynn	657719	Agent - Health	8/6/2007	3/31/2015
Inactive	Smith, Shari Lynn	657719	Agent - Life	8/6/2007	3/31/2015
Denied	Smith, Shari Lynn	657719	Agent - Property