DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	BenCom, LLC	DOIID	654880	NAIC NPN	8899156

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/18/2007	3/31/2009
Inactive	Non Resident	Agent	Health	5/18/2007	3/31/2009
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	4/10/2008	3/31/2009
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/10/2008	3/31/2009
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/10/2008	3/31/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	3/31/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/10/2008	3/31/2009
Inactive	Humana Insurance Company	301104	Agent - Health	4/10/2008	3/31/2009
Inactive	Humana Insurance Company	301104	Agent - Life	4/10/2008	3/31/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/10/2008	3/31/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/10/2008	3/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/10/2008	3/31/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/10/2008	3/31/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Holland, Mark Christopher	375328	Agent - Health	5/18/2007	3/31/2009
Inactive	Holland, Mark Christopher	375328	Agent - Life	5/18/2007	3/31/2009
Inactive	Wallace, Thomas Lee	390721	Agent - Health	5/18/2007	3/31/2009
Inactive	Wallace, Thomas Lee	390721	Agent - Life	5/18/2007	3/31/2009