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
AMY HUGHES	PRODUCER	1948082	YES		01-16-16
CASEY NICOLE HOWARD	PRODUCER	17781372	YES		01-16-16
CESAR OMAR CANO	PRODUCER	17764061	YES		01-16-16
DENISE A KRAVEC	PRODUCER	17797731	YES		01-16-16
DIANA LYNN BOWMAN	PRODUCER	17396434	YES		01-16-16
EDWARD G SULLIVAN	PRODUCER	2209501	YES		01-16-16
GAIL WALDROPT	PRODUCER	17006505	YES		01-16-16
GENE C GATES	PRODUCER	8025238	YES		01-16-16
GRACE WILLIAMSON	PRODUCER	17800122	YES		01-16-16
GREGORY ALLEN GRAF	PRODUCER	1282961	YES		01-16-16
JOHN WESLEY KYLE	PRODUCER	17800127	YES		01-16-16
KAEL KENNETH ALDEN	PRODUCER	17589620	YES		01-16-16
LAVERNE BAKA	PRODUCER	17759502	YES		01-16-16
LINDA LOVE	PRODUCER	16802560	YES		01-16-16
MONICA MELISSA SPENCE	PRODUCER	8957509	YES		01-16-16

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?	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