DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Debenedictis, Blake Coleman	DOIID	1148122	NAIC NPN	19996808

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/30/2021	10/31/2022
* 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	Arcadian Health Plan, Inc.	728196	Agent - Health	11/1/2021	10/31/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/31/2021	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	8/25/2021	10/31/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/20/2021	10/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	2/14/2022	3/21/2022