DEPARTMENT OF INSURANCE

Affiliations

Name	Benefits By Design Inc	DOIID	725426	NAIC NPN	8238981

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Variable Life and Variable Annuities
Denied	Non Resident	Agent	Personal Lines
Inactive	Non Resident	Agent	Health	3/3/2017	8/1/2019
Inactive	Non Resident	Agent	Life	3/3/2017	8/1/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/25/2011	3/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/25/2011	3/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/25/2011	3/31/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/2/2015	3/31/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/2/2015	3/31/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/26/2017	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/26/2017	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/26/2017	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/2/2015	3/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/2/2015	3/31/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/2/2015	3/31/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hall, Cary F	669333	Agent - Health	3/3/2016	5/31/2019
Inactive	Hall, Cary F	669333	Agent - Life	3/3/2016	5/31/2019