DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Executive Financial Bene-Facts, Inc.	DOIID	1115109	NAIC NPN	2750864

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/29/2020		3/31/2026
Active	Non Resident	Agent	Life	12/29/2020		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/26/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/26/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/26/2024
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/29/2020
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/29/2020
Active	Pacific Life Insurance Company	301848	Agent - Health	12/7/2022
Active	Pacific Life Insurance Company	301848	Agent - Life	12/7/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lizotte, Peter Desmond	791625	Agent - Health	12/29/2020
Active	Lizotte, Peter Desmond	791625	Agent - Life	12/29/2020