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
JOAN SAMANIEGO	PRODUCER	17325600		YES	05/18/16
JOAN WOZNIAK	PRODUCER	17020317		YES	05/18/16
JODY BAILEY	PRODUCER	17282607		YES	05/18/16
JOHN CALVIN BROWN	PRODUCER	1168315		YES	05/18/16
JONATHAN BRADFIELD	PRODUCER	1806263		YES	05/18/16
KATHY L PADEN	PRODUCER	17765090		YES	05/18/16
LARRY RAY DUIRDEN	PRODUCER	1189835		YES	05/18/16
LAVERNE BAKA	PRODUCER	17759502		YES	05/18/16
LINDA HANKINS	PRODUCER	8633664		YES	05/18/16
LINDA LOVE	PRODUCER	16802560		YES	05/18/16
LOIS JEAN SOLES	PRODUCER	11530177		YES	05/18/16
MARCIANO YEUTEF FORD	PRODUCER	14278213		YES	05/18/16
MARK VINCENT BARSOTTI	PRODUCER	7568662		YES	05/18/16
MARVIN STUART MARK	PRODUCER	6721030		YES	05/18/16
MATTHEW JOHN MOTL	PRODUCER	16944842		YES	05/18/16

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