DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cooperative Benefit Designs Ltd	DOIID	801854	NAIC NPN	7144736

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/19/2013	3/31/2015
Inactive	Non Resident	Agent	Health	1/19/2013	3/31/2015
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/1/2013	3/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/1/2013	3/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/1/2013	3/31/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Pipes, Richard G	665988	Agent - Health	1/19/2013	3/31/2015
Inactive	Pipes, Richard G	665988	Agent - Life	1/19/2013	3/31/2015