DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Worksite Ins Services Inc	DOIID	938888	NAIC NPN	17888158

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/5/2016	3/31/2024
Inactive	Non Resident	Agent	Life	12/5/2016	3/31/2024
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/5/2016	3/31/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/5/2016	3/31/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/13/2018	4/5/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/13/2018	4/5/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/13/2018	4/5/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/22/2017	3/31/2024
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/22/2017	3/31/2024
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	2/9/2017	3/31/2024
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	2/9/2017	3/31/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dannenberg, Elizabeth K	938749	Agent - Health	12/5/2016	3/31/2024
Inactive	Dannenberg, Elizabeth K	938749	Agent - Life	12/5/2016	3/31/2024