DEPARTMENT OF INSURANCE

Affiliations

Name	The Partners Workplace Solutions Group, Inc.	DOIID	695818	NAIC NPN	12520976

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	12/17/2008	3/31/2016
Inactive	Resident	Agent	Life	12/17/2008	3/31/2016
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/21/2009	10/21/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/21/2009	10/21/2013
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	12/5/2012	3/21/2013
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/5/2012	3/21/2013
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/21/2009	9/11/2013
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/21/2009	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/21/2009	9/11/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/21/2009	9/11/2013
Inactive	Assurity Life Insurance Company	301099	Agent - Health	9/14/2012	7/12/2013
Inactive	Assurity Life Insurance Company	301099	Agent - Life	9/14/2012	7/12/2013
Inactive	BaltasVision, LLC	598376	Agent - Health	8/24/2009	11/12/2015
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/28/2011	3/31/2016
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	2/6/2009	3/31/2016
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	1/30/2009	7/17/2013
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	1/30/2009	7/17/2013
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	6/28/2011	3/31/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/18/2009	12/5/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/18/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/18/2009	7/2/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	6/28/2011	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	6/28/2011	6/11/2014
Inactive	Continental American Insurance Company	301700	Agent - Health	5/17/2012	3/31/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	5/17/2012	3/31/2016
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	1/10/2013	4/28/2016
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	1/10/2013	4/28/2016
Inactive	Dental Care Plus Inc.	301495	Agent - Health	3/11/2010	3/31/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/8/2015
Inactive	Genworth Life Insurance Company	300623	Agent - Health	4/25/2009	3/31/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	4/25/2009	3/31/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	4/25/2009	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	4/25/2009	10/4/2012
Inactive	HCC Life Insurance Company	301827	Agent - Health	12/29/2008	8/24/2009
Inactive	HCC Life Insurance Company	301827	Agent - Life	12/29/2008	8/24/2009
Inactive	Health Resources Inc.	301210	Agent - Health	2/1/2010	3/31/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/4/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/4/2009	3/31/2016
Inactive	Humana Insurance Company	301104	Agent - Health	11/18/2009	3/31/2016
Inactive	Humana Insurance Company	301104	Agent - Life	11/18/2009	3/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/4/2009	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/4/2009	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/18/2009	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/18/2009	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/4/2009	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/4/2009	12/5/2014
Inactive	Life Insurance Company of North America	300711	Agent - Health	9/13/2011	3/31/2016
Inactive	Life Insurance Company of North America	300711	Agent - Life	9/13/2011	3/31/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/9/2009	4/18/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/9/2009	4/18/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/30/2008	3/31/2016
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/30/2008	3/31/2016
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/13/2011	1/26/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/24/2011	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/24/2011	9/9/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Health	5/21/2009	8/8/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/21/2009	8/8/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/25/2011	7/26/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/25/2011	7/26/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/24/2011	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/24/2011	9/9/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/13/2011	1/26/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/13/2011	1/26/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Jon Michael	590104	Agent - Health	6/16/2010	10/27/2010
Denied	Anderson, Jon Michael	590104	Agent - Life
Inactive	Baltas, Jeffrey Thomas Rex	589880	Agent - Health	6/10/2010	3/31/2016
Inactive	Baltas, Jeffrey Thomas Rex	589880	Agent - Life	6/10/2010	7/17/2013
Inactive	Bowman, Jeffrey Allen	639584	Agent - Health	7/8/2011	10/18/2011
Inactive	Bowman, Jeffrey Allen	639584	Agent - Life	7/8/2011	10/18/2011
Inactive	Davis, Timothy Ray	367724	Agent - Health	12/17/2008	3/31/2016
Inactive	Davis, Timothy Ray	367724	Agent - Life	12/17/2008	3/31/2016
Inactive	Goodman, Bradley Keith	662533	Agent - Health	12/17/2008	7/12/2013
Inactive	Goodman, Bradley Keith	662533	Agent - Life	12/17/2008	7/12/2013
Inactive	Gregory, Debra Brooke	551882	Agent - Health	12/17/2008	3/31/2016
Inactive	Gregory, Debra Brooke	551882	Agent - Life	12/17/2008	3/31/2016
Inactive	Jenkins, Justin Carol	761039	Agent - Health	9/8/2011	7/12/2013
Inactive	Jenkins, Justin Carol	761039	Agent - Life	9/6/2011	7/12/2013
Inactive	Necessary, Christopher Scott	636428	Agent - Health	12/17/2008	12/14/2009
Inactive	Necessary, Christopher Scott	636428	Agent - Life	12/17/2008	12/14/2009
Inactive	Pearl, Quinn Filmore	544468	Agent - Health	2/8/2010	9/7/2010
Inactive	Pearl, Quinn Filmore	544468	Agent - Life	2/8/2010	9/7/2010
Inactive	Wyatt, Matthew Jerry	556928	Agent - Health	6/11/2010	6/28/2011
Inactive	Wyatt, Matthew Jerry	556928	Agent - Life	6/11/2010	6/28/2011