PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameThe Partners Workplace Solutions Group, Inc.DOIID695818NAIC NPN12520976
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth12/17/20083/31/2016 
InactiveResidentAgentLife12/17/20083/31/2016 
* 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
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health4/21/200910/21/2013
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life4/21/200910/21/2013
InactiveAmerican Heritage Life Insurance Company300272Agent - Health12/5/20123/21/2013
InactiveAmerican Heritage Life Insurance Company300272Agent - Life12/5/20123/21/2013
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/21/20099/11/2013
InactiveAnthem Insurance Companies, Inc.300941Agent - Health4/21/200910/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health4/21/20099/11/2013
InactiveAnthem Life Insurance Company301209Agent - Life4/21/20099/11/2013
InactiveAssurity Life Insurance Company301099Agent - Health9/14/20127/12/2013
InactiveAssurity Life Insurance Company301099Agent - Life9/14/20127/12/2013
InactiveBaltasVision, LLC598376Agent - Health8/24/200911/12/2015
InactiveBanner Life Insurance Company301696Agent - Life10/28/20113/31/2016
InactiveBaptist Health Plan, Inc.300157Agent - Health2/6/20093/31/2016
InactiveBoston Mutual Life Insurance Company300143Agent - Health1/30/20097/17/2013
InactiveBoston Mutual Life Insurance Company300143Agent - Life1/30/20097/17/2013
InactiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health6/28/20113/31/2016
InactiveCompBenefits Dental, Inc.591692Agent - Health11/18/200912/5/2014
InactiveCompBenefits Insurance Company301864Agent - Health11/18/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life11/18/20097/2/2013
InactiveConnecticut General Life Insurance Company301333Agent - Health6/28/20116/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life6/28/20116/11/2014
InactiveContinental American Insurance Company301700Agent - Health5/17/20123/31/2016
InactiveContinental American Insurance Company301700Agent - Life5/17/20123/31/2016
InactiveDearborn Life Insurance Company300401Agent - Health1/10/20134/28/2016
InactiveDearborn Life Insurance Company300401Agent - Life1/10/20134/28/2016
InactiveDental Care Plus Inc.301495Agent - Health3/11/20103/31/2016
InactiveDental Concern Inc. (The)301641Agent - Health3/21/200912/8/2015
InactiveGenworth Life Insurance Company300623Agent - Health4/25/20093/31/2016
InactiveGenworth Life Insurance Company300623Agent - Life4/25/20093/31/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health4/25/200910/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life4/25/200910/4/2012
InactiveHCC Life Insurance Company301827Agent - Health12/29/20088/24/2009
InactiveHCC Life Insurance Company301827Agent - Life12/29/20088/24/2009
InactiveHealth Resources Inc.301210Agent - Health2/1/20103/31/2016
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health4/4/201312/5/2014
InactiveHumana Health Plan, Inc.300142Agent - Health2/4/20093/31/2016
InactiveHumana Insurance Company301104Agent - Health11/18/20093/31/2016
InactiveHumana Insurance Company301104Agent - Life11/18/20093/31/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/4/200912/5/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/4/200912/5/2014
InactiveHumanaDental Insurance Company301457Agent - Health11/18/20095/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life11/18/20095/13/2013
InactiveKanawha Insurance Company300127Agent - Health2/4/200912/5/2014
InactiveKanawha Insurance Company300127Agent - Life2/4/200912/5/2014
InactiveLife Insurance Company of North America300711Agent - Health9/13/20113/31/2016
InactiveLife Insurance Company of North America300711Agent - Life9/13/20113/31/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Health2/9/20094/18/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Life2/9/20094/18/2016
InactiveMetropolitan Life Insurance Company301948Agent - Health12/30/20083/31/2016
InactiveMetropolitan Life Insurance Company301948Agent - Life12/30/20083/31/2016
InactiveMutual of Omaha Insurance Company301012Agent - Health5/13/20111/26/2014
InactiveProvident Life and Accident Insurance Company301525Agent - Health3/24/20119/9/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Life3/24/20119/9/2015
InactivePruco Life Insurance Company300954Agent - Health5/21/20098/8/2013
InactivePruco Life Insurance Company300954Agent - Life5/21/20098/8/2013
InactiveTransamerica Life Insurance Company300571Agent - Health3/25/20117/26/2013
InactiveTransamerica Life Insurance Company300571Agent - Life3/25/20117/26/2013
InactiveUNUM Life Insurance Company of America300817Agent - Health3/24/20119/9/2015
InactiveUNUM Life Insurance Company of America300817Agent - Life3/24/20119/9/2015
InactiveUnited of Omaha Life Insurance Company300156Agent - Health5/13/20111/26/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life5/13/20111/26/2014
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnderson, Jon Michael 590104Agent - Health6/16/201010/27/2010
DeniedAnderson, Jon Michael 590104Agent - Life  
InactiveBaltas, Jeffrey Thomas Rex 589880Agent - Health6/10/20103/31/2016
InactiveBaltas, Jeffrey Thomas Rex 589880Agent - Life6/10/20107/17/2013
InactiveBowman, Jeffrey Allen 639584Agent - Health7/8/201110/18/2011
InactiveBowman, Jeffrey Allen 639584Agent - Life7/8/201110/18/2011
InactiveDavis, Timothy Ray 367724Agent - Health12/17/20083/31/2016
InactiveDavis, Timothy Ray 367724Agent - Life12/17/20083/31/2016
InactiveGoodman, Bradley Keith 662533Agent - Health12/17/20087/12/2013
InactiveGoodman, Bradley Keith 662533Agent - Life12/17/20087/12/2013
InactiveGregory, Debra Brooke 551882Agent - Health12/17/20083/31/2016
InactiveGregory, Debra Brooke 551882Agent - Life12/17/20083/31/2016
InactiveJenkins, Justin Carol 761039Agent - Health9/8/20117/12/2013
InactiveJenkins, Justin Carol 761039Agent - Life9/6/20117/12/2013
InactiveNecessary, Christopher Scott 636428Agent - Health12/17/200812/14/2009
InactiveNecessary, Christopher Scott 636428Agent - Life12/17/200812/14/2009
InactivePearl, Quinn Filmore 544468Agent - Health2/8/20109/7/2010
InactivePearl, Quinn Filmore 544468Agent - Life2/8/20109/7/2010
InactiveWyatt, Matthew Jerry 556928Agent - Health6/11/20106/28/2011
InactiveWyatt, Matthew Jerry 556928Agent - Life6/11/20106/28/2011

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