DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Milestone Benefits Agcy Inc	DOIID	753584	NAIC NPN	2212733

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/4/2011	3/15/2013
Inactive	Non Resident	Agent	Health	5/4/2011	3/15/2013
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	12/6/2011	3/15/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/6/2011	3/15/2013
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/8/2011	3/15/2013
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/8/2011	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/8/2011	3/15/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/8/2011	3/15/2013
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	5/16/2011	3/15/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/9/2011	12/13/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/9/2011	12/13/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/9/2011	3/15/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/9/2011	3/15/2013
Inactive	Life Insurance Company of North America	300711	Agent - Health	5/10/2011	3/15/2013
Inactive	Life Insurance Company of North America	300711	Agent - Life	5/10/2011	3/15/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bermingham, Kent K	753303	Agent - Health	5/4/2011	3/15/2013
Inactive	Bermingham, Kent K	753303	Agent - Life	5/4/2011	3/15/2013
Inactive	Smith, Chad M	754187	Agent - Health	8/4/2011	3/15/2013
Inactive	Smith, Chad M	754187	Agent - Life	8/4/2011	3/15/2013
Inactive	Zuniga, Marie L	580474	Agent - Health	5/16/2011	12/31/2012
Inactive	Zuniga, Marie L	580474	Agent - Life	5/16/2011	12/31/2012