Notification of Changes for Business Entity
General Information
Business Entity Name:	INSPHERE INSURANCE SOLUTIONS INC.
Incorporation / Formation Date:
FEIN:	27-027777-1
Ohio License Number:	39897
NPN:	14412207
DBA / Trade Name:	HEALTHMARKETS INSURANCE AGENCY
State of Domicile:	DE
County:	TARRANT
Business Address
Address 1:	9151 BOULEVARD 26
Address 2:
City:	NORTH RICHLAND HILLS
State:	TX
Zip:	76180
Phone:	817-255-3454
Fax:
Business Web Site Address:
Business Email Address:	ONBOARDING@HEALTHMARKETSHQ.COM
Mailing Address
Address 1:	9151 BOULEVARD 26
Address 2:
City:	NORTH RICHLAND HILLS
State:	TX
Zip:	76180
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	NO	Old Business Entity Name:
New DBA/Trade Name:	NO	New DBA/Trade Name:
Amend DBA/Trade Name:	NO	Old DBA/Trade Name:
Add/Delete Producers, Members, Owners, Partners, Officers and/or Directors:	NO

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date
JODY BAILEY	PRODUCER	17282607	YES		11/30/15
JOHN THOMPSON JR	PRODUCER	17627059	YES		11/30/15
JUAN MARTIN ESCOTO	PRODUCER	14897048	YES		11/30/15
KATHY L PADEN	PRODUCER	17765090	YES		11/30/15
LAKESAIA HARVEY	PRODUCER	9849392	YES		11/30/15
LENNEN A KUHLMANN CHANCE	PRODUCER	17753901	YES		11/30/15
LESLIE MAXWELL	PRODUCER	972606	YES		11/30/15
MICHAEL KELLY	PRODUCER	1065744	YES		11/30/15
PREZ MANIGOE	PRODUCER	7562589	YES		11/30/15
ROBYNN PARKER	PRODUCER	17746100	YES		11/30/15
SARITA JOY PERKINS	PRODUCER	17042143	YES		11/30/15
SHANDA KAY SINGER	PRODUCER	7611491	YES		11/30/15
SUZANNE GAIL SMALTZ	PRODUCER	15909108	YES		11/30/15
THOMAS WOLFE	PRODUCER	17755790	YES		11/30/15
TODD D MUNCY	PRODUCER	2186859	YES		11/30/15

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date

Title Business Entities Only
1. Is any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance? (i.e. banking, auto dealer, mortgage company)	NO
2. Has any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance since the filing of the previous CN-65 or the original application?	NO
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement

Submitted By
Submitted By:	JAMES C. MASON
Title:	SR. VICE PRESIDENT
Phone Number:	817-255-3454
Email Address:	ONBOARDING@HEALTHMARKETSHQ.COM