DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hollingsworth, John Benjamin	DOIID	694394	NAIC NPN	8357723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/17/2016	12/31/2018
Inactive	Non Resident	Agent	Life	11/17/2016	12/31/2018
* 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	Baptist Health Plan, Inc.	300157	Agent - Health	2/9/2009	7/29/2010
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	1/5/2011	12/22/2011
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/28/2011	12/31/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/8/2010	12/31/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/8/2010	12/31/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/5/2011	1/10/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/8/2010	12/31/2012
Inactive	Humana Insurance Company	301104	Agent - Health	12/8/2010	12/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/8/2010	12/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/8/2010	12/31/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/23/2010	12/31/2012
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/23/2010	12/31/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/23/2010	12/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Capital Benefits Group LLC	670142	Agent - Health	10/26/2010	12/31/2012