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DEPARTMENT OF INSURANCE
Affiliations
Name
Alpha Benefits Group Inc
DOIID
663018
NAIC NPN
957412
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Non Resident
Agent
Casualty
Inactive
Non Resident
Agent
Life
10/1/2007
3/31/2015
Inactive
Non Resident
Agent
Health
10/1/2007
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
American Heritage Life Insurance Company
300272
Agent - Health
9/17/2008
3/31/2015
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
9/17/2008
3/31/2015
Inactive
American United Life Insurance Company
300498
Agent - Health
8/31/2008
3/31/2015
Inactive
American United Life Insurance Company
300498
Agent - Life
8/31/2008
3/31/2015
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Health
6/29/2010
3/31/2015
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Life
6/29/2010
3/31/2015
Inactive
Dearborn Life Insurance Company
300401
Agent - Health
9/9/2008
4/20/2015
Inactive
Dearborn Life Insurance Company
300401
Agent - Life
9/9/2008
4/20/2015
Inactive
Professional Insurance Company
301281
Agent - Health
10/15/2007
3/31/2015
Inactive
Professional Insurance Company
301281
Agent - Life
10/15/2007
3/31/2015
Inactive
Trustmark Insurance Company
300317
Agent - Health
6/5/2010
3/31/2015
Inactive
Trustmark Insurance Company
300317
Agent - Life
6/5/2010
3/31/2015
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Heller, Robert D
688771
Agent - Health
1/15/2014
3/31/2015
Inactive
Heller, Robert D
688771
Agent - Life
1/15/2014
3/31/2015
Inactive
Kapustin, Michael
651893
Agent - Health
10/1/2007
3/31/2015
Inactive
Kapustin, Michael
651893
Agent - Life
10/1/2007
3/31/2015
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