PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameDS Benefits Group, LLCDOIID772207NAIC NPN11574805
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife1/10/20123/31/2024 
InactiveNon ResidentAgentHealth1/10/20123/31/2024 
* 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
InactiveAmerican United Life Insurance Company300498Agent - Health1/10/20129/17/2020
InactiveAmerican United Life Insurance Company300498Agent - Life1/10/20129/17/2020
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDorman, Mark J 644735Agent - Health1/10/20123/11/2014
InactiveDorman, Mark J 644735Agent - Life1/10/20123/11/2014
InactiveSciulli, Dino 826899Agent - Health3/26/20143/31/2024
InactiveSciulli, Dino 826899Agent - Life3/26/20143/31/2024

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