DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Benesight Inc DBA : Fiserv Health-Benefit	DOIID	394567	NAIC NPN	649499

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	1/28/1992	11/6/2006
Inactive	Non Resident	Agent	Life	3/2/2001	11/6/2006
Inactive	Non Resident	Agent	Health	3/2/2001	11/6/2006
* 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	Avemco Insurance Company	300669	Agent - Health	2/19/2002	2/28/2006
Inactive	HCC Life Insurance Company	301827	Agent - Health	2/19/2002	11/6/2006
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	6/26/2002	8/20/2003
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	6/26/2002	8/20/2003
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	12/10/2001	3/13/2003
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	12/10/2001	3/13/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/27/2004	11/6/2006
Denied	UnitedHealthcare Insurance Company	300946	Agent - Life

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Raess, David W	360649	Agent - Health	3/1/2001	7/23/2002
Inactive	Raess, David W	360649	Agent - Life	3/1/2001	7/23/2002
Inactive	Thompson, Andrew Marvel	547762	Administrator - Not Applicable	7/17/2002	10/11/2005
Inactive	Thompson, Andrew Marvel	547762	Agent - Health	7/23/2002	11/6/2006
Inactive	Thompson, Andrew Marvel	547762	Agent - Life	7/23/2002	11/6/2006
Inactive	Thompson, Grover Bruce	357992	Administrator - Not Applicable	1/28/1992	10/11/2005
Inactive	Thompson, Grover Bruce	357992	Agent - Health	3/2/2001	2/28/2003
Inactive	Thompson, Grover Bruce	357992	Agent - Life	3/2/2001	2/28/2003
Inactive	Troyer, Bryan	513552	Administrator - Not Applicable	10/11/2005	11/6/2006
Inactive	Troyer, Bryan	513552	Agent - Health	6/10/2005	11/6/2006
Inactive	Troyer, Bryan	513552	Agent - Life	6/10/2005	11/6/2006