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
KOOL ESQUIRE MCCALL	PRODUCER	17287347		YES	01-22-16
STEPHANIE BARBOUR	PRODUCER	17262969		YES	01-22-16
DANIEL HERSHMAN	PRODUCER	1791074		YES	01-22-16
JACK L DUNCAN	PRODUCER	17062154		YES	01-22-16
KELLY M MITCHELL	PRODUCER	16565477		YES	01-22-16
BRUCE ALAN OGLEVIE	PRODUCER	17044820		YES	01-22-16
JAMES M BOEHM	PRODUCER	510058		YES	01-22-16
DEBORAH EID	PRODUCER	510058		YES	01-22-16
DANIEL SCOTT VAUGHN	PRODUCER	14396718		YES	01-22-16
KATHY MIDDLETON	PRODUCER	16980304		YES	01-22-16
CHERRE HOLLIE JONES	PRODUCER	17132293		YES	01-22-16
THEODIS ALI RASHEED II	PRODUCER	8945913		YES	01-22-16
SHEILA GENICE HAMEEN	PRODUCER	16919749		YES	01-22-16
QUENTLY T ASHLEY	PRODUCER	16769611		YES	01-22-16
ANN D CARDAMONE	PRODUCER	9757307		YES	01-22-16

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?
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