DEPARTMENT OF INSURANCE

Affiliations

Name	CBC Benefit & Insurance Services DBA : Custom Benefits Consultants, Inc	DOIID	700642	NAIC NPN	1907991

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	4/15/2009	3/31/2027
Active	Non Resident	Agent	Life	4/15/2009	3/31/2027
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/19/2018
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/3/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/19/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	11/19/2018
Active	All Savers Insurance Company	301940	Agent - Health	6/30/2023
Active	All Savers Insurance Company	301940	Agent - Life	6/30/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	5/3/2018	8/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/3/2012
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/3/2012	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/3/2012	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/3/2012	4/15/2025
Active	BCS Insurance Company	300294	Agent - Health	9/14/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/5/2015
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	3/3/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/21/2014	12/13/2016
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/3/2018
Active	Dental Concern Inc. (The)	301641	Agent - Health	11/8/2024
Active	Dentegra Insurance Company	300462	Agent - Health	2/28/2017
Active	First Health Life & Health Insurance Company	301735	Agent - Health	11/19/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/17/2016	1/20/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/17/2016	1/20/2018
Inactive	HM Life Insurance Company	301408	Agent - Health	5/3/2016	5/31/2019
Inactive	HM Life Insurance Company	301408	Agent - Life	5/3/2016	5/31/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/25/2017	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	5/8/2013	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	5/8/2013	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/8/2013	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/8/2013	8/30/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/29/2010	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/29/2010	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/29/2010	7/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/29/2010	7/20/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/16/2018	3/15/2019
Active	National Guardian Life Insurance Company	300596	Agent - Health	5/21/2021
Active	Nationwide Life Insurance Company	300495	Agent - Health	5/21/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	5/21/2021
Inactive	Omaha Insurance Company	751908	Agent - Health	1/16/2018	3/15/2019
Active	SilverScript Insurance Company	663526	Agent - Health	10/19/2019
Inactive	Time Insurance Company	300683	Agent - Health	11/22/2014	11/15/2019
Inactive	Time Insurance Company	300683	Agent - Life	11/22/2014	11/15/2019
Active	United States Fire Insurance Company	582240	Agent - Health	11/12/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/16/2018	3/15/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/16/2018	3/15/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/8/2016	3/3/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	3/8/2016
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/30/2018	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/28/2022	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/1/2023	12/17/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/30/2018	3/3/2025
Active	Vision Service Plan Insurance Company	300526	Agent - Health	9/12/2016
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/25/2023	2/28/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/25/2023	2/28/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Bahl, Kenneth W	696629	Agent - Health	4/15/2009
Active	Bahl, Kenneth W	696629	Agent - Life	4/15/2009
Active	Czaplicki, Tamara	1272470	Agent - Health	5/21/2025
Pending	Czaplicki, Tamara	1272470	Agent - Life
Active	Moxley, Tawnia Marie	859040	Agent - Health	5/21/2025
Active	Moxley, Tawnia Marie	859040	Agent - Life	5/21/2025