DEPARTMENT OF INSURANCE

Affiliations

Name	Workplace Benefits Group LLC	DOIID	718995	NAIC NPN	15390928

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/27/2023	1/15/2025
Inactive	Resident	Agent	Health	6/27/2023	1/15/2025
* 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	Auto-Owners Life Insurance Company	301368	Agent - Health	8/24/2012	3/31/2023
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	8/24/2012	3/31/2023
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/11/2020	3/31/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/27/2010	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/27/2010	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	5/27/2010	8/20/2012
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	1/25/2011	9/12/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	1/25/2011	9/12/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/27/2010	8/20/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	2/26/2010	12/17/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	2/26/2010	12/17/2012
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/23/2014	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/23/2014	3/31/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/4/2023	1/15/2025
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/4/2023	1/15/2025
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/27/2010	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	5/27/2010	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	5/27/2010	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/27/2010	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/27/2010	8/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/27/2010	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/27/2010	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/27/2010	8/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/27/2010	8/20/2012
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Health	6/18/2014	3/31/2023
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	11/23/2010	12/26/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/25/2010	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	6/7/2012	6/24/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/9/2011	1/29/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/9/2011	1/29/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/25/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/25/2010	12/26/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chesnut, Stanley	813099	Agent - Health	8/7/2014	10/13/2015
Inactive	Chesnut, Stanley	813099	Agent - Life	8/7/2014	10/13/2015
Inactive	Coleman, Jessica Marie	582204	Agent - Life	6/27/2023	1/15/2025
Inactive	Jenkins, William Kelly	307860	Agent - Health	10/19/2011	8/8/2014
Inactive	Jenkins, William Kelly	307860	Agent - Life	2/14/2013	8/8/2014
Inactive	Smith, Bradley L	710483	Agent - Health	6/27/2023	1/15/2025
Inactive	Smith, Bradley L	710483	Agent - Life	12/29/2009	3/31/2023