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.

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	SilverScript Insurance Company	663526	Agent - Health	5/15/2025

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