DEPARTMENT OF INSURANCE

Affiliations

Name	Ms Benefits	DOIID	1024662	NAIC NPN	19009671

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/8/2019	3/31/2027
Active	Non Resident	Agent	Health	5/6/2019	3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	8/11/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/7/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/11/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/7/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	9/7/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/14/2019
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/14/2019
Active	American Heritage Life Insurance Company	300272	Agent - Health	10/4/2021
Active	American Heritage Life Insurance Company	300272	Agent - Life	10/4/2021
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/6/2019
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/25/2019
Active	Continental American Insurance Company	301700	Agent - Health	11/25/2025
Active	Continental American Insurance Company	301700	Agent - Life	11/25/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/11/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/11/2021
Active	Metropolitan Life Insurance Company	301948	Agent - Health	11/14/2025
Active	Metropolitan Life Insurance Company	301948	Agent - Life	11/14/2025
Active	Nationwide Life Insurance Company	300495	Agent - Health	12/31/2025
Active	Nationwide Life Insurance Company	300495	Agent - Life	12/31/2025
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/18/2022	11/30/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/18/2022	11/30/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/7/2021
Inactive	Starmount Life Insurance Company	628031	Agent - Health	1/18/2022	11/30/2023
Inactive	Tier One Insurance Company	301056	Agent - Health	10/12/2023	12/27/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	7/14/2026
Active	Transamerica Life Insurance Company	300571	Agent - Life	7/14/2026
Active	Trustmark Insurance Company	300317	Agent - Health	7/2/2021
Active	Trustmark Insurance Company	300317	Agent - Life	7/2/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/18/2022	11/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/18/2022	11/30/2023
Inactive	Unum Insurance Company	301499	Agent - Health	1/18/2022	11/30/2023
Inactive	Unum Insurance Company	301499	Agent - Life	1/18/2022	11/30/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Baron, Patrick Ernst	1017046	Agent - Health	3/27/2025
Active	Baron, Patrick Ernst	1017046	Agent - Life	3/27/2025
Active	Boudreaux, Beau D	348309	Agent - Health	6/22/2026
Active	Boudreaux, Beau D	348309	Agent - Life	6/22/2026
Active	Feuer, Simcha	980684	Agent - Life	1/8/2019
Active	Reisman, Moshe	1013605	Agent - Health	5/6/2019
Active	Reisman, Moshe	1013605	Agent - Life	4/20/2019