DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haden, Benjamin Taylor	DOIID	1087976	NAIC NPN	9159943

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/1/2020		5/31/2027
Active	Non Resident	Agent	Life	7/1/2020		5/31/2027
* 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	03/04/2025	03/04/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	3/30/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/30/2023
Active	Pacific Life Insurance Company	301848	Agent - Health	4/27/2021
Active	Pacific Life Insurance Company	301848	Agent - Life	4/27/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Tippett Moorhead & Haden, An Alera Group Agency, LLC	1089876	Agent - Life
Denied	Tippett Moorhead & Haden, An Alera Group Agency, LLC	1089876	Agent - Health