PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameCapital Benefits Group LLCDOIID670142NAIC NPN9582351
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife10/26/20103/31/2013 
InactiveNon ResidentAgentHealth10/26/20103/31/2013 
* 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
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health1/14/20113/31/2013
InactiveAnthem Insurance Companies, Inc.300941Agent - Health1/14/201110/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health1/14/20113/31/2013
InactiveAnthem Life Insurance Company301209Agent - Life1/14/20113/31/2013
InactiveBaptist Health Plan, Inc.300157Agent - Health2/29/20123/31/2013
InactiveBerkshire Life Insurance Company of America300983Agent - Health1/4/201112/21/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life1/4/201112/21/2011
InactiveColonial Life and Accident Insurance Company300846Agent - Health6/9/20113/31/2013
InactiveColonial Life and Accident Insurance Company300846Agent - Life6/9/20113/31/2013
InactiveCompBenefits Dental, Inc.591692Agent - Health3/9/20123/31/2013
InactiveCompBenefits Insurance Company301864Agent - Health3/9/20123/31/2013
InactiveCompBenefits Insurance Company301864Agent - Life3/9/20123/31/2013
InactiveDearborn Life Insurance Company300401Agent - Health1/25/20114/26/2013
InactiveDearborn Life Insurance Company300401Agent - Life1/25/20114/26/2013
InactiveDental Concern Inc. (The)301641Agent - Health10/21/20113/31/2013
InactiveGuardian Life Insurance Company of America301316Agent - Health1/4/20113/31/2013
InactiveGuardian Life Insurance Company of America301316Agent - Life1/4/20113/31/2013
InactiveHartford Life and Accident Insurance Company300878Agent - Health1/13/20113/31/2013
InactiveHartford Life and Accident Insurance Company300878Agent - Life1/13/20113/31/2013
InactiveHealth Resources Inc.301210Agent - Health5/3/20123/31/2013
InactiveHumana Health Plan, Inc.300142Agent - Health10/21/20113/31/2013
InactiveHumana Insurance Company301104Agent - Health10/21/20113/31/2013
InactiveHumana Insurance Company301104Agent - Life10/21/20113/31/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/9/20123/31/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/9/20123/31/2013
InactiveHumanaDental Insurance Company301457Agent - Health3/9/201212/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life3/9/201212/19/2012
InactiveKanawha Insurance Company300127Agent - Health10/21/20113/31/2013
InactiveKanawha Insurance Company300127Agent - Life10/21/20113/31/2013
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/15/20123/31/2013
InactiveUnitedHealthcare Insurance Company300946Agent - Life3/15/20123/31/2013
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/15/20123/31/2013
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/15/20123/31/2013
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveClingan, Kevin Patrick 706043Agent - Health12/7/20103/22/2013
InactiveClingan, Kevin Patrick 706043Agent - Life12/7/20103/22/2013
InactiveHollingsworth, John Benjamin 694394Agent - Health10/26/201012/31/2012
InactiveHolt, Daryl Ray 383837Agent - Health3/1/20123/31/2013
InactiveHolt, Daryl Ray 383837Agent - Life3/15/20123/31/2013
InactiveLerner, Teresa Ann 697869Agent - Health3/2/201112/31/2012
InactiveLerner, Teresa Ann 697869Agent - Life3/2/201112/31/2012
DeniedMoore, David Alan 325628Agent - Health  
DeniedMoore, David Alan 325628Agent - Life  
InactiveRohrs, Brian Thomas 507431Agent - Health8/15/20123/31/2013
InactiveRohrs, Brian Thomas 507431Agent - Life8/15/20123/31/2013

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