DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Leibold Benefits Group LLC	DOIID	834581	NAIC NPN	9638230

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/25/2014	3/31/2016
Inactive	Non Resident	Agent	Health	2/25/2014	3/31/2016
* 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	UnitedHealthcare Insurance Company	300946	Agent - Health	4/8/2014	8/6/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/8/2014	8/6/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Browning, Sue A	693608	Agent - Health	2/25/2014	3/31/2016
Inactive	Browning, Sue A	693608	Agent - Life	2/25/2014	3/31/2016