DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rosenberg, Sheldon Maurice	DOIID	682187	NAIC NPN	700434

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/5/2012	4/30/2015
Inactive	Non Resident	Agent	Life	9/5/2012	4/30/2015
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/21/2008	6/11/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/21/2008	6/11/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/24/2012	11/2/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/24/2012	11/2/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/24/2012	11/2/2012
Inactive	Humana Insurance Company	301104	Agent - Health	9/24/2012	11/2/2012
Inactive	Humana Insurance Company	301104	Agent - Life	9/29/2010	3/17/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/24/2012	11/2/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/24/2012	11/2/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/24/2012	11/2/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/24/2009	4/30/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/24/2009	4/30/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/24/2009	4/30/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/24/2009	4/30/2011
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	12/4/2008	4/29/2010
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	12/4/2008	4/29/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Call Center, Inc	695480	Agent - Health	1/5/2009	3/26/2010
Inactive	Corporate Call Center, Inc	695480	Agent - Life	1/5/2009	3/26/2010
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2008	7/31/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2008	7/31/2009