DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Disability Partnership LLC	DOIID	787384	NAIC NPN	16730013

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/31/2012	3/31/2014
Denied	Non Resident	Managing General Agent	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	Aetna Health Inc. (PA)	660717	Agent - Health	1/9/2013	3/31/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/9/2013	3/31/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/2/2013	5/1/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/2/2013	5/1/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/2/2013	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/2/2013	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	4/2/2013	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/2/2013	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/2/2013	5/1/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/23/2012	10/17/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/23/2012	10/17/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Roberts, David Brian	745035	Agent - Health	7/31/2012	3/31/2014