DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Member Benefit Solutions, LLC	DOIID	843184	NAIC NPN	17293903

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	6/24/2014	3/31/2018
Inactive	Resident	Agent	Health	6/24/2014	3/31/2018
Inactive	Resident	Agent	Life	6/24/2014	3/31/2018
Inactive	Resident	Agent	Casualty	6/24/2014	3/31/2018
* 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	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/25/2014	4/26/2017
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/25/2014	4/26/2017
Inactive	Dental Care Plus Inc.	301495	Agent - Health	10/14/2014	3/31/2018
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	10/21/2014	3/31/2018
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	10/21/2014	3/31/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brock, Murphy G	392189	Agent - Health	6/24/2014	3/31/2018
Inactive	Brock, Murphy G	392189	Agent - Life	6/24/2014	3/31/2018
Inactive	Pearl, Quinn Filmore	544468	Agent - Casualty	6/24/2014	3/31/2018
Inactive	Pearl, Quinn Filmore	544468	Agent - Health	6/24/2014	3/31/2018
Inactive	Pearl, Quinn Filmore	544468	Agent - Life	6/24/2014	3/31/2018
Inactive	Pearl, Quinn Filmore	544468	Agent - Property	6/24/2014	3/31/2018