black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CUSTOM BENEFIT CONSULTANTS INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN257329
Status:
Active
First Licensure:
09/25/2015
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
3295 N FORT APACHE RD STE 150
LAS VEGAS, NV 89129-0209
Mailing:
3295 N FORT APACHE RD STE 150
LAS VEGAS, NV 89129-0209
Phone:
+1 (800) 309-9029
Fax:
+1 (949) 835-1150
Email:
dtakkinen@cbcins.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/25/2015 04/01/2027

Alias, DBA or Trade Name
Name
CBC BENEFIT AND INSURANCE SERVICES

Employer
Name Issue Date License Number Expiration Date Cancel Date
ALL SAVERS INSURANCE COMPANY
 11/14/2023 LHF233900
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
 12/23/2023 LHF374 02/28/2025
BCS INSURANCE COMPANY
 09/14/2023 PCF928
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
 07/29/2021 LHF214634 03/03/2025
CIGNA HEALTH AND LIFE INSURANCE COMPANY
 10/05/2015 LHF860
DENTEGRA INSURANCE COMPANY
 03/01/2017 LHF110900
HCC LIFE INSURANCE COMPANY
 10/03/2016 LHF133704 06/12/2017
HM LIFE INSURANCE COMPANY
 05/04/2016 LHF942 04/02/2018
INDEPENDENCE AMERICAN INSURANCE COMPANY
 11/06/2023 PCF86149
MUTUAL OF OMAHA INSURANCE COMPANY
 01/16/2018 LHF84 03/15/2019
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
 08/30/2018 LHF58195 03/03/2025
UNITED OF OMAHA LIFE INSURANCE COMPANY
 01/16/2018 LHF28 03/15/2019
UNITED STATES FIRE INSURANCE COMPANY
 11/12/2021 PCF101256
UNITEDHEALTHCARE INSURANCE COMPANY
 08/30/2018 LHF700
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
 08/30/2018 LHF983 12/28/2021
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
 11/14/2023 HMF393375
UNITEDHEALTHCARE OF WISCONSIN, INC.
 07/20/2022 HMF376407 03/03/2025
VISION SERVICE PLAN INSURANCE COMPANY
 09/12/2016 LHF47545
WELLCARE OF MAINE, INC.
 12/23/2023 HMD305081 02/10/2025
WELLCARE PRESCRIPTION INSURANCE INC
 12/23/2023 LHF121869 02/28/2025

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
KENNETH W. BAHL
 04/13/2016 PRN266919
ROBIN MARIE BAHL
 09/25/2015 PRN241421
TAMARA CZAPLICKI
 05/04/2023 PRN450855
BENJAMIN SWENSON HANSON
 10/20/2017 PRN296396
JESSAMINE ABRIOL MORENO
 05/23/2025 PRN516434
LISA LANETTE PARK
 10/19/2017 PRN296357
BRANDON TAYLOR SYLVIA
 05/04/2023 PRN450858

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
KENNETH W. BAHL PRN266919

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1907991

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 03/11/2026 03:56:15 AM