DEPARTMENT OF INSURANCE
Affiliations
NameCo-Ordinated Benefit Plans LlcDOIID397781NAIC NPN2257434
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAdministratorNot Applicable1/24/2007 3/31/2027
ActiveNon ResidentAgentProperty1/4/2013 3/31/2027
ActiveNon ResidentAgentCasualty1/4/2013 3/31/2027
ActiveNon ResidentAgentHealth1/2/2013 3/31/2027
ActiveNon ResidentAgentLife1/2/2013 3/31/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveNationwide Mutual Insurance Company301749Agent - Casualty5/8/2018 
ActiveNationwide Mutual Insurance Company301749Agent - Property5/8/2018 
ActiveUnited States Fire Insurance Company582240Agent - Casualty8/2/2023 
ActiveUnited States Fire Insurance Company582240Agent - Health8/2/2023 
ActiveUnited States Fire Insurance Company582240Agent - Property8/2/2023 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCrist, Jennifer Michele 929080Agent - Casualty4/26/20173/17/2020
DeniedCrist, Jennifer Michele 929080Agent - Health  
DeniedCrist, Jennifer Michele 929080Agent - Life  
InactiveCrist, Jennifer Michele 929080Agent - Property4/26/20173/17/2020
ActiveLeys, Kevin H 536253Administrator - Not Applicable9/24/2020 
ActiveLeys, Kevin H 536253Agent - Casualty1/4/2013 
ActiveLeys, Kevin H 536253Agent - Health1/2/2013 
ActiveLeys, Kevin H 536253Agent - Life1/2/2013 
ActiveLeys, Kevin H 536253Agent - Property1/4/2013 
InactiveRice, Laura Therese 639880Administrator - Not Applicable1/24/20071/31/2010
InactiveSivak, Rebecca L 1049104Administrator - Not Applicable1/23/20209/24/2020
InactiveWhalen, Suzanne Elizabeth 700020Administrator - Not Applicable3/16/20091/23/2020

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