DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Strategic Employee Benefit Services Of Michigan Inc	DOIID	805175	NAIC NPN	8943970

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/7/2013	3/31/2015
Inactive	Non Resident	Agent	Life	3/7/2013	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	3/29/2013	3/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/29/2013	3/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/29/2013	3/31/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/2/2013	6/2/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/2/2013	6/2/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/2/2013	6/2/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/2/2013	6/2/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sokol, David Neil	804763	Agent - Health	3/6/2013	3/31/2015
Inactive	Sokol, David Neil	804763	Agent - Life	3/6/2013	3/31/2015