PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameKBA Benefit Solutions, LLCDOIID774036NAIC NPN16526917
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth2/3/20123/31/2026 
InactiveResidentAgentLife2/3/20123/31/2026 
* 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
InactiveBaptist Health Plan, Inc.300157Agent - Health2/14/20133/31/2019
InactiveBerkshire Life Insurance Company of America300983Agent - Health8/14/201211/9/2015
InactiveBerkshire Life Insurance Company of America300983Agent - Life8/14/201211/9/2015
InactiveGuardian Life Insurance Company of America301316Agent - Health8/14/20123/31/2026
InactiveGuardian Life Insurance Company of America301316Agent - Life8/14/20123/31/2026
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMattingly, Lisa M 329804Agent - Health2/3/20123/31/2026
InactiveMattingly, Lisa M 329804Agent - Life2/3/20123/31/2026

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