DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Champion Benefit Advisors LLC	DOIID	1310110	NAIC NPN	20874871

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/10/2023		3/31/2027
Active	Non Resident	Agent	Life	11/10/2023		3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/15/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	5/15/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/24/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/24/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/5/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/24/2025
Active	SilverScript Insurance Company	663526	Agent - Health	5/15/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/5/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/5/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/4/2025
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/4/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Wood, Brandon Michael	905015	Agent - Health	11/3/2023
Active	Wood, Brandon Michael	905015	Agent - Life	11/3/2023