DEPARTMENT OF INSURANCE
Affiliations
NameIntegrated Benefits Holdings, LLCDOIID667992NAIC NPN8469900
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife11/9/2007 3/31/2025
ActiveNon ResidentAgentHealth11/9/2007 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health7/30/20147/3/2017
InactiveAetna Health Insurance Company301583Agent - Health7/30/20147/3/2017
InactiveAetna Life Insurance Company301140Agent - Health7/30/20147/3/2017
InactiveAetna Life Insurance Company301140Agent - Life7/30/20147/3/2017
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health1/31/20081/8/2014
InactiveAnthem Insurance Companies, Inc.300941Agent - Health1/31/200810/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health1/31/20081/8/2014
InactiveAnthem Life Insurance Company301209Agent - Life1/31/20081/8/2014
InactiveCIGNA Health & Life Insurance Company301783Agent - Health1/7/20144/2/2018
InactiveConnecticut General Life Insurance Company301333Agent - Health12/26/20089/29/2014
InactiveFirst Health Life & Health Insurance Company301735Agent - Health7/30/20147/3/2017
InactiveOmaha Insurance Company751908Agent - Health3/30/20126/24/2013
InactiveStandard Security Life Insurance Company of NY301487Agent - Health3/24/201012/26/2018
InactiveStandard Security Life Insurance Company of NY301487Agent - Life3/24/201012/26/2018
InactiveUnited of Omaha Life Insurance Company300156Agent - Health6/29/201012/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life6/29/201012/26/2012
InactiveWellCare Health Insurance of Arizona, Inc.501692Agent - Health10/28/20084/29/2010
InactiveWellCare Health Insurance of Arizona, Inc.501692Agent - Life10/28/20084/29/2010
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/28/20085/5/2010
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCarter, Paul Dean 371202Agent - Health5/15/200812/31/2021
InactiveCarter, Paul Dean 371202Agent - Life5/15/200812/31/2021
InactiveCole, Teresa Ann 607862Agent - Health2/22/20088/31/2010
InactiveCole, Teresa Ann 607862Agent - Life2/22/20088/31/2010
InactiveEngler, LoRetta Joy 660773Agent - Health5/15/200810/16/2010
InactiveEngler, LoRetta Joy 660773Agent - Life5/15/20083/1/2011
InactiveGrace, Charles Glenn 375662Agent - Health2/22/200811/16/2018
InactiveGrace, Charles Glenn 375662Agent - Life2/22/200811/16/2018
ActiveHays, Teddy Larry 306093Agent - Health3/7/2008 
ActiveHays, Teddy Larry 306093Agent - Life3/7/2008 
InactiveIbrahim, Waseem Youssef 649139Agent - Health4/7/20084/1/2009
InactiveIbrahim, Waseem Youssef 649139Agent - Life4/7/20084/1/2009
ActiveKimble, Benjamin Ryan 505215Agent - Health11/9/2007 
ActiveKimble, Benjamin Ryan 505215Agent - Life11/9/2007 
ActiveKimble, Laura Kay 708461Agent - Health6/25/2015 
ActiveKimble, Laura Kay 708461Agent - Life6/25/2015 
DeniedKimble, Robert L 335440Agent - Health  
InactiveKimble, Robert L 335440Agent - Life6/25/20159/30/2021
InactiveLee, Kenneth Ray 377046Agent - Health2/22/20085/1/2012
InactiveLee, Kenneth Ray 377046Agent - Life2/22/20085/1/2012
InactiveLindsey, Randall Wayne 537074Agent - Health1/11/20121/31/2022
InactiveLindsey, Randall Wayne 537074Agent - Life1/11/20121/31/2022
InactiveTichenor, Stephen Thomas 375214Agent - Health3/27/20089/1/2017
InactiveTichenor, Stephen Thomas 375214Agent - Life3/27/20089/1/2017
ActiveWoody, Elmer Randall 305299Agent - Health6/2/2008 
ActiveWoody, Elmer Randall 305299Agent - Life6/2/2008 

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