DEPARTMENT OF INSURANCE

Affiliations

Name	Donnelly, Benjamin	DOIID	1350782	NAIC NPN	20404137

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/17/2024	4/30/2026
Active	Non Resident	Agent	Health	7/17/2024	4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	9/21/2024	5/29/2025
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/23/2024	2/23/2026
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/21/2024	5/29/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/23/2024	2/23/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/23/2024	2/23/2026
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	3/11/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/2/2025	2/5/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/17/2024	9/9/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/22/2024	5/29/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	7/23/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	7/23/2025
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/4/2024	2/5/2026
Inactive	Humana Insurance Company	301104	Agent - Health	8/16/2024	2/5/2026
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/22/2025	2/5/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/23/2024	2/23/2026
Inactive	Tier One Insurance Company	301056	Agent - Health	10/9/2024	2/9/2026
Inactive	Tier One Insurance Company	301056	Agent - Life	10/9/2024	2/9/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/17/2024	9/9/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/17/2024	9/9/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/28/2025	11/27/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	9/21/2024	8/28/2025
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	7/23/2024	8/28/2025