DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Puetz, Benjamin P	DOIID	1042882	NAIC NPN	6998566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/5/2019		5/31/2025
Active	Non Resident	Agent	Health	6/5/2019		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/28/2019	7/31/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/28/2019	7/31/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/28/2019	7/31/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/28/2019	7/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Colorado Inc	696514	Agent - Life	7/10/2019	4/3/2020
Inactive	Willis Of Colorado Inc	696514	Agent - Health	7/10/2019	4/3/2020
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Life	1/30/2020	7/31/2023
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Health	1/30/2020	7/31/2023