DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Spivy, Benjamin T	DOIID	1060104	NAIC NPN	19295212

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/9/2023		12/31/2024
Active	Non Resident	Agent	Health	6/9/2023		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	7/21/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	7/21/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/14/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/21/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/14/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	6/14/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/17/2019	5/19/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	5/19/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	5/19/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/27/2019	3/19/2020
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/17/2021	5/19/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/21/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/21/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/6/2019	3/19/2020
Active	SilverScript Insurance Company	663526	Agent - Health	6/14/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/18/2023	10/3/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/18/2023	10/3/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/17/2019	5/19/2022
Inactive	Ins Dialogue Agency LLC	798353	Agent - Health	11/12/2019	11/12/2021