DEPARTMENT OF INSURANCE
Affiliations
NameAlpha Benefits Group IncDOIID663018NAIC NPN957412
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedNon ResidentAgentCasualty   
InactiveNon ResidentAgentLife10/1/20073/31/2015 
InactiveNon ResidentAgentHealth10/1/20073/31/2015 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Heritage Life Insurance Company300272Agent - Health9/17/20083/31/2015
InactiveAmerican Heritage Life Insurance Company300272Agent - Life9/17/20083/31/2015
InactiveAmerican United Life Insurance Company300498Agent - Health8/31/20083/31/2015
InactiveAmerican United Life Insurance Company300498Agent - Life8/31/20083/31/2015
InactiveBoston Mutual Life Insurance Company300143Agent - Health6/29/20103/31/2015
InactiveBoston Mutual Life Insurance Company300143Agent - Life6/29/20103/31/2015
InactiveDearborn Life Insurance Company300401Agent - Health9/9/20084/20/2015
InactiveDearborn Life Insurance Company300401Agent - Life9/9/20084/20/2015
InactiveProfessional Insurance Company301281Agent - Health10/15/20073/31/2015
InactiveProfessional Insurance Company301281Agent - Life10/15/20073/31/2015
InactiveTrustmark Insurance Company300317Agent - Health6/5/20103/31/2015
InactiveTrustmark Insurance Company300317Agent - Life6/5/20103/31/2015
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHeller, Robert D 688771Agent - Health1/15/20143/31/2015
InactiveHeller, Robert D 688771Agent - Life1/15/20143/31/2015
InactiveKapustin, Michael 651893Agent - Health10/1/20073/31/2015
InactiveKapustin, Michael 651893Agent - Life10/1/20073/31/2015

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