PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameOne Source Benefits LlcDOIID748846NAIC NPN8287268
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth2/25/20113/31/2015 
InactiveNon ResidentAgentLife2/25/20113/31/2015 
* 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
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/24/20113/31/2015
InactiveAnthem Insurance Companies, Inc.300941Agent - Health3/24/201110/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health3/24/20113/31/2015
InactiveAnthem Life Insurance Company301209Agent - Life3/24/20113/31/2015
InactivePrudential Insurance Company of America300784Agent - Health1/20/201212/23/2014
InactivePrudential Insurance Company of America300784Agent - Life1/20/201212/23/2014
InactiveStandard Insurance Company300185Agent - Health11/24/20143/31/2015
InactiveStandard Insurance Company300185Agent - Life11/24/20143/31/2015
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCardin, James P 373576Agent - Health3/2/20117/2/2013
InactiveCardin, James P 373576Agent - Life3/2/20117/2/2013
InactiveMcManamon, Tracy Brian 384841Agent - Health2/25/20113/31/2015
InactiveMcManamon, Tracy Brian 384841Agent - Life2/25/20113/31/2015
InactiveStiles, Jacqueline Kay 743666Agent - Health3/28/20116/30/2012
InactiveStiles, Jacqueline Kay 743666Agent - Life3/28/20116/30/2012
InactiveWashbish, John C 747133Agent - Health3/2/201112/9/2011
InactiveWashbish, John C 747133Agent - Life3/2/201112/9/2011

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