DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Benefit Partners Group, LLC	DOIID	1030113	NAIC NPN	17942624

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/25/2019	3/31/2023
Inactive	Non Resident	Agent	Life	2/25/2019	3/31/2023
* 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
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/19/2019	12/19/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/6/2021	2/28/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/6/2021	2/28/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/6/2021	2/28/2022
Inactive	Humana Insurance Company	301104	Agent - Health	4/6/2021	2/28/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/6/2021	2/28/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/6/2021	2/28/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/6/2021	2/28/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/6/2021	2/28/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Warye, Russell L	1030073	Agent - Health	2/25/2019	3/31/2023
Inactive	Warye, Russell L	1030073	Agent - Life	2/25/2019	3/31/2023