DEPARTMENT OF INSURANCE

Affiliations

Name	CBIZ M T Donahoe & Assoc LLC	DOIID	689692	NAIC NPN	3204214

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/6/2008	4/1/2014
Inactive	Non Resident	Agent	Health	11/6/2008	4/1/2014
* 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 Health Plans of Kentucky, Inc.	300999	Agent - Health	1/1/2009	4/1/2014
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/1/2009	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/1/2009	4/1/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/1/2009	4/1/2014
Inactive	Combined Insurance Company of America	301472	Agent - Health	8/3/2012	4/1/2014
Inactive	Combined Insurance Company of America	301472	Agent - Life	8/3/2012	4/1/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/7/2009	9/3/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/7/2009	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/7/2009	6/26/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	9/3/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/10/2008	4/1/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/10/2008	4/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/7/2009	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	4/7/2009	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	4/7/2009	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/7/2009	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/7/2009	9/3/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/7/2009	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/7/2009	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/7/2009	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/7/2009	4/25/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Donahoe, William Wallace	686596	Agent - Health	11/6/2008	4/1/2014
Inactive	Donahoe, William Wallace	686596	Agent - Life	11/6/2008	4/1/2014
Inactive	Edwards, Heather G	689535	Agent - Health	11/18/2008	1/31/2011
Inactive	Edwards, Heather G	689535	Agent - Life	11/18/2008	1/31/2011