DEPARTMENT OF INSURANCE

Affiliations

Name	Centro Benefits Research LLC	DOIID	1073780	NAIC NPN	19414822

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/10/2020	3/31/2026
Active	Non Resident	Agent	Life	2/10/2020	3/31/2026
* 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
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	3/17/2020
Active	Combined Insurance Company of America	301472	Agent - Health	3/11/2020
Active	Combined Insurance Company of America	301472	Agent - Life	3/11/2020
Active	Guardian Life Insurance Company of America	301316	Agent - Health	3/23/2020
Active	Guardian Life Insurance Company of America	301316	Agent - Life	3/23/2020
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/3/2021
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/3/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/28/2020
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/28/2020
Active	Metropolitan Life Insurance Company	301948	Agent - Health	1/29/2021
Active	Metropolitan Life Insurance Company	301948	Agent - Life	1/29/2021
Active	National Guardian Life Insurance Company	300596	Agent - Health	10/4/2023
Active	Principal Life Insurance Company	300129	Agent - Health	6/26/2020
Active	Principal Life Insurance Company	300129	Agent - Life	6/26/2020
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	4/15/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	4/15/2022
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	12/28/2023
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	12/28/2023
Active	Starmount Life Insurance Company	628031	Agent - Health	4/15/2022
Active	Transamerica Life Insurance Company	300571	Agent - Health	6/22/2023
Active	Transamerica Life Insurance Company	300571	Agent - Life	6/22/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	4/15/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	4/15/2022
Active	United Concordia Insurance Company	903543	Agent - Health	11/15/2021
Active	Unum Insurance Company	301499	Agent - Health	4/15/2022
Active	Unum Insurance Company	301499	Agent - Life	4/15/2022
Active	Vision Service Plan Insurance Company	300526	Agent - Health	4/10/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bruckman, Adam D	553893	Agent - Health	2/10/2020
Active	Bruckman, Adam D	553893	Agent - Life	2/10/2020