DEPARTMENT OF INSURANCE

Affiliations

Name	Senior Benefits Inc.	DOIID	398077	NAIC NPN	3320256

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/31/1998	1/18/2016
Inactive	Resident	Agent	Health	7/31/1998	1/18/2016
* 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	Allied Life Insurance Company	301294	Agent - Health	5/13/1999	8/9/1999
Inactive	Allied Life Insurance Company	301294	Agent - Life	5/13/1999	8/9/1999
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	7/19/1999	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	7/19/1999	12/31/2001
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	4/10/2000	2/27/2004
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	4/10/2000	2/27/2004
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	3/29/2004
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	3/29/2004
Inactive	Continental Casualty Company	301019	Agent - Health	7/31/2000	11/29/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	4/5/2001	12/16/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	4/5/2001	12/16/2008
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	7/31/2000	2/14/2005
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	9/19/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	9/19/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	8/13/1999	1/15/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	8/13/1999	1/15/2004
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	9/30/1999	2/20/2015
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	9/30/1999	2/20/2015
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	11/26/2001	1/7/2014
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	11/26/2001	1/7/2014
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	12/11/1998	2/25/2003
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	12/11/1998	2/25/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	7/31/1998	8/20/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	7/31/1998	8/20/2003
Inactive	Principal Life Insurance Company	300129	Agent - Health	8/25/1999	11/30/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	8/25/1999	11/30/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	9/23/1999	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	9/23/1999	1/2/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	10/23/1999	7/18/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	10/23/1999	7/18/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	2/20/1999	3/29/2001
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	2/20/1999	3/29/2001
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	12/27/2000	5/16/2007
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	12/27/2000	5/16/2007
Inactive	Transamerica Assurance Company	300893	Agent - Health	3/6/2000	11/6/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	3/6/2000	11/6/2003
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	12/13/1999	8/17/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	12/13/1999	8/17/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	12/13/1999	8/17/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/19/1999	11/6/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/19/1999	11/6/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/16/2000	1/2/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/16/2000	1/2/2007
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	3/2/1999	12/23/2010
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	3/2/1999	10/15/2010
Inactive		300277	Agent - Life	12/13/2000	9/9/2002

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Charles Earl	393325	Agent - Health	2/14/2007	1/18/2016
Inactive	Anderson, Charles Earl	393325	Agent - Life	2/14/2007	1/18/2016
Inactive	Asfur, Samuel J	334959	Agent - Health	10/28/1998	8/29/2000
Inactive	Clark, Victoria Joan	309594	Agent - Health	4/26/1999	8/11/2000
Inactive	Clark, Victoria Joan	309594	Agent - Life	4/26/1999	8/11/2000
Inactive	Crabtree, Alice J	347470	Agent - Health	4/26/1999	7/24/2006
Inactive	Crabtree, Alice J	347470	Agent - Life	4/26/1999	7/24/2006
Inactive	Dailey, Edward Lee	393987	Agent - Health	3/1/1999	4/26/1999
Inactive	Dailey, Edward Lee	393987	Agent - Life	3/1/1999	4/26/1999
Inactive	Green, Jason A	506500	Agent - Health	9/21/2000	2/12/2003
Inactive	Green, Jason A	506500	Agent - Life	9/21/2000	2/12/2003
Inactive	Hayden, Blakely C	505419	Agent - Health	8/29/2000	8/14/2002
Inactive	Hayden, Blakely C	505419	Agent - Life	8/29/2000	8/14/2002
Inactive	Lambert, Janet Faye	323716	Agent - Health	4/26/1999	8/29/2000
Inactive	Lambert, Janet Faye	323716	Agent - Life	4/26/1999	8/29/2000
Inactive	May, Clarence William	354133	Agent - Health	9/28/2000	9/28/2000
Inactive	May, Clarence William	354133	Agent - Life	9/28/2000	1/20/2005
Inactive	McClure, Howard Willis	302506	Agent - Health	2/25/1999	2/14/2007
Inactive	McClure, Howard Willis	302506	Agent - Life	2/25/1999	2/14/2007
Inactive	Norris, Daniel Wilbert	387623	Agent - Health	10/14/1998	2/25/1999
Inactive	O'Bryan, Scott A	365646	Agent - Health	2/2/2004	7/24/2006
Inactive	O'Bryan, Scott A	365646	Agent - Life	2/2/2004	7/24/2006
Inactive	Settles, Christine Janet	342471	Agent - Health	8/29/2000	1/20/2005
Inactive	Settles, Christine Janet	342471	Agent - Life	8/29/2000	1/20/2005
Inactive	Sheperson, Brenda Dell	379287	Agent - Health	11/6/1998	8/29/2000
Inactive	Sheperson, Brenda Dell	379287	Agent - Life	11/6/1998	8/29/2000
Inactive	Shrewsberry, Karen Elaine	358126	Agent - Health	8/29/2000	1/16/2002
Inactive	Shrewsberry, Karen Elaine	358126	Agent - Life	8/29/2000	1/16/2002
Inactive	Vowels, Patricia G	329373	Agent - Health	7/31/1998	1/20/2005
Inactive	Vowels, Patricia G	329373	Agent - Life	7/31/1998	1/20/2005
Inactive	Wathen, Amanda Danielle	326016	Agent - Health	9/21/1998	8/22/2000
Inactive	Wells, Jimmy David	306607	Agent - Health	3/15/2001	7/1/2002
Inactive	Wells, Jimmy David	306607	Agent - Life	3/15/2001	7/1/2002
Inactive	Wells, Vickie Alyce	324560	Agent - Health	11/19/1998	8/29/2000
Inactive	Wells, Vickie Alyce	324560	Agent - Life	11/19/1998	8/29/2000