DEPARTMENT OF INSURANCE

Affiliations

Name	Contemporary Benefits Design Inc	DOIID	672432	NAIC NPN	8887191

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/31/2008	3/31/2016
Inactive	Non Resident	Agent	Life	1/31/2008	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	Aetna Health Inc. (PA)	660717	Agent - Health	3/11/2009	3/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/11/2009	3/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/11/2009	3/31/2016
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	9/20/2012	8/13/2015
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	8/27/2008	3/31/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/25/2008	10/16/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/25/2008	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	6/26/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	10/16/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/24/2014	3/31/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/26/2008	3/31/2016
Inactive	Humana Insurance Company	301104	Agent - Health	2/26/2008	10/16/2012
Inactive	Humana Insurance Company	301104	Agent - Life	2/26/2008	10/16/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/26/2008	3/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/26/2008	3/31/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/26/2008	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/26/2008	2/23/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Health	7/20/2008	3/20/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Life	7/20/2008	3/20/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/24/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/24/2014	10/22/2015
Inactive	Time Insurance Company	300683	Agent - Health	8/8/2012	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	8/8/2012	12/20/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harbin, Kenneth S	584684	Agent - Health	1/31/2008	3/31/2016
Inactive	Harbin, Kenneth S	584684	Agent - Life	1/31/2008	3/31/2016
Inactive	Long, Scott E	677103	Agent - Health	9/11/2008	9/30/2012
Inactive	Long, Scott E	677103	Agent - Life	9/11/2008	9/30/2012