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	05/18/16
ANDRE CHARLES FELTON	PRODUCER	16832006		YES	05/18/16
ANTHONY TYRONE SWOPES	PRODUCER	17331749		YES	05/18/16
ARTHUR GORDON	PRODUCER	16493161		YES	05/18/16
BENJAMIN DUFFUS CONSTANT	PRODUCER	15746301		YES	05/18/16
BOBBY DINGESS	PRODUCER	17469220		YES	05/18/16
BRANDI RICHARDSON	PRODUCER	17622428		YES	05/18/16
BRETT HARSH	PRODUCER	2018326		YES	05/18/16
BRITNEY LOIS MITCHELL	PRODUCER	16827885		YES	05/18/16
BROCK MITCHELL RYKER	PRODUCER	17406352		YES	05/18/16
CECELIA WOODSIDE	PRODUCER	16592069		YES	05/18/16
CHRISTAL JILLIAN RH LINDSAY	PRODUCER	17632709		YES	05/18/16
CHRISTINA MARIE PENA	PRODUCER	16435061		YES	05/18/16
CINDY GARCIA CALDERON	PRODUCER	17192270		YES	05/18/16
DOUGLAS S CHRISTOPHER	PRODUCER	8703996		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