DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cornerstone Retirement Advisors Inc	DOIID	1287091	NAIC NPN	20796483

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	7/24/2023		3/31/2025
Active	Resident	Agent	Health	7/24/2023		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/14/2024
Active	Anthem Life Insurance Company	301209	Agent - Health	2/14/2024
Active	Anthem Life Insurance Company	301209	Agent - Life	2/14/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bennett, MacKenzie Frazier	1022070	Agent - Health	8/22/2023
Active	Bennett, MacKenzie Frazier	1022070	Agent - Life	8/22/2023
Active	Mitchell, Gary Mac	315981	Agent - Health	7/24/2023
Active	Mitchell, Gary Mac	315981	Agent - Life	7/24/2023