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.

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	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