DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Employee Benefit Management Corp	DOIID	395788	NAIC NPN	963749

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	8/14/2019		3/31/2026
Inactive	Non Resident	Agent	Health	8/30/2013	8/6/2014
Inactive	Non Resident	Agent	Life	8/30/2013	8/6/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HCC Life Insurance Company	301827	Agent - Health	12/23/2013	8/6/2014
Inactive	HCC Life Insurance Company	301827	Agent - Life	12/23/2013	8/6/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/11/2013	8/6/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/11/2013	8/6/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/17/2013	8/6/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/17/2013	8/6/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/17/2013	8/6/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/17/2013	8/6/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Handley, Bobby Joe	1048063	Administrator - Not Applicable	8/14/2019
Denied	OChall, Robert W	591372	Agent - Health
Denied	OChall, Robert W	591372	Agent - Life
Inactive	Patrick, Kenneth	725261	Administrator - Not Applicable	6/12/2013	5/31/2015
Inactive	Weatherholt, William O	365326	Administrator - Not Applicable	3/26/1992	3/22/2011
Inactive	Wrobleski, Christopher Andrew	303411	Administrator - Not Applicable	2/22/1995	2/28/2005