DEPARTMENT OF INSURANCE

Affiliations

Name	Benefit Resource Inc.	DOIID	400180	NAIC NPN	3429004

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	2/25/2000	5/10/2004
Inactive	Resident	Agent	Health	3/11/1997	3/31/2021
Inactive	Resident	Agent	Prepaid Dental Plan	3/27/2000	3/1/2001
Inactive	Resident	Agent	Life	3/11/1997	3/31/2021
Inactive	Resident	Agent	Health Maintenance Organization	12/4/1999	3/1/2001
* 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	AF&L Insurance Company	301582	Agent - Health	2/18/2003	3/31/2007
Inactive	Aetna Health Inc.	300694	Agent - Health	8/26/2002	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	4/24/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/5/1998	4/24/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/5/1998	4/24/2017
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/28/2003	3/31/2021
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/28/2003	3/31/2021
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	2/14/2005	2/16/2006
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/7/2000	1/12/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/7/2000	1/12/2004
Inactive	American Fidelity Assurance Company	301004	Agent - Health	9/20/2002	12/22/2004
Inactive	American Fidelity Assurance Company	301004	Agent - Life	9/20/2002	12/22/2004
Inactive	American General Life Insurance Company	301585	Agent - Health	7/15/2002	11/9/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	7/15/2002	11/9/2012
Inactive	American United Life Insurance Company	300498	Agent - Health	8/31/2000	11/2/2004
Inactive	American United Life Insurance Company	300498	Agent - Life	8/31/2000	11/2/2004
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/26/2001	5/15/2017
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/26/2001	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/15/1997	3/30/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/15/1997	3/30/2001
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	8/7/2003	11/9/2009
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	8/7/2003	11/9/2009
Inactive	Augustar Life Insurance Company	301816	Agent - Health	8/7/2003	11/9/2009
Inactive	Augustar Life Insurance Company	301816	Agent - Life	8/7/2003	11/9/2009
Inactive	Avemco Insurance Company	300669	Agent - Health	7/30/2001	2/28/2006
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	7/15/1999	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	7/15/1999	12/31/2001
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	3/1/2005	9/19/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	3/1/2005	9/19/2011
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	8/19/2002	9/2/2005
Inactive	CHA HMO, Inc.	300662	Agent - Health	4/8/2002	12/15/2004
Inactive	Canada Life Assurance Company	301192	Agent - Health	6/8/2001	12/14/2004
Inactive	Canada Life Assurance Company	301192	Agent - Life	6/8/2001	12/14/2004
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	1/20/2003	2/9/2004
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	1/20/2003	2/9/2004
Inactive	Companion Life Insurance Company	300191	Agent - Health	10/23/1999	1/18/2007
Inactive	Companion Life Insurance Company	300191	Agent - Life	10/23/1999	1/18/2007
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	9/7/1999	8/11/2000
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	9/7/1999	8/11/2000
Inactive	General American Life Insurance Company	300280	Agent - Health	10/17/2002	12/27/2006
Inactive	General American Life Insurance Company	300280	Agent - Life	10/17/2002	12/27/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/3/2002	10/4/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/3/2002	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	9/3/2002	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	9/3/2002	12/7/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/14/2001	11/22/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/14/2001	11/9/2011
Inactive	HCC Life Insurance Company	301827	Agent - Health	7/31/2001	2/28/2006
Inactive	HCC Life Insurance Company	301827	Agent - Life	7/31/2001	2/28/2006
Inactive	HM Life Insurance Company	301408	Agent - Health	9/19/1997	9/10/2007
Inactive	HM Life Insurance Company	301408	Agent - Life	9/19/1997	9/10/2007
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	10/11/2004	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	10/11/2004	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/20/2003	6/4/2010
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/20/2003	6/4/2010
Inactive	Health Resources Inc.	301210	Agent - Health	3/1/2001	1/4/2005
Inactive	Health Resources Inc.	301210	Agent - Prepaid Dental Plan	3/27/2000	3/1/2001
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	9/27/2002	8/24/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	12/22/2003	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	12/22/2003	7/2/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	9/24/2002	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	9/24/2002	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/21/2008	3/31/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/21/2008	3/31/2021
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	9/24/2002	2/23/2009
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	9/24/2002	2/23/2009
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	3/1/1999	4/7/2004
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	3/1/1999	4/7/2004
Inactive	Life Insurance Company of Georgia	300267	Agent - Health	3/11/1997	4/21/2000
Inactive	Life Insurance Company of Georgia	300267	Agent - Life	3/11/1997	4/21/2000
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	10/31/2003	6/23/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	10/31/2003	6/23/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/2/2007	8/21/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/2/2007	8/21/2012
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	11/1/2002	10/28/2016
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	11/1/2002	10/28/2016
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	8/19/2002	9/2/2005
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/9/2007	11/18/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/9/2007	11/18/2008
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/19/2002	9/23/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	7/15/2002	3/31/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	7/15/2002	3/31/2003
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	10/29/1999	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	10/29/1999	12/11/2002
Inactive	Principal Life Insurance Company	300129	Agent - Health	1/22/1998	11/19/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	1/22/1998	11/19/2009
Inactive	Protective Life Insurance Company	300638	Agent - Health	12/10/1998	12/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	12/10/1998	12/15/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/29/1999	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/29/1999	11/10/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	4/1/2003	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	4/1/2003	9/3/2004
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/1/2004	2/14/2005
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	9/30/1999	11/19/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	9/30/1999	11/19/2003
Inactive	Southland Life Insurance Company	301175	Agent - Life	2/24/1998	10/1/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Health	12/4/1999	12/30/2010
Inactive	Symetra Life Insurance Company	301691	Agent - Life	12/4/1999	12/30/2010
Inactive	Time Insurance Company	300683	Agent - Health	6/1/1999	2/21/2003
Inactive	Time Insurance Company	300683	Agent - Life	6/1/1999	2/21/2003
Inactive	Transamerica Assurance Company	300893	Agent - Health	9/24/2001	8/19/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	9/24/2001	8/19/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/15/1999	5/23/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/15/1999	5/23/2005
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	2/5/2003	9/13/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	2/18/1999	12/2/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	2/18/1999	12/2/2005
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	12/19/2012
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	12/19/2012
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	10/9/2003	8/5/2009
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	10/9/2003	8/5/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/17/1999	3/24/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/17/1999	3/24/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001	3/24/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	12/4/1999	3/1/2001
Inactive	Western National Life Insurance Company	300461	Agent - Life	8/1/2002	11/30/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Bradley R	320681	Agent - Health	12/20/1996	4/30/2003
Inactive	Anderson, Bradley R	320681	Agent - Life	12/20/1996	4/30/2003
Inactive	Anderson, Bradley R	320681	Agent - Prepaid Dental Plan	3/27/2000	3/1/2001
Inactive	Anderson, Charles Todd	328974	Agent - Health	12/20/1996	7/1/2002
Inactive	Anderson, Charles Todd	328974	Agent - Life	12/20/1996	7/1/2002
Inactive	Anderson, Eric Earl	311358	Agent - Health	12/20/1996	3/7/2008
Inactive	Anderson, Eric Earl	311358	Agent - Life	12/20/1996	3/7/2008
Inactive	Anderson, Helena Michelle	358551	Agent - Health	9/7/1999	1/1/2011
Inactive	Anderson, Helena Michelle	358551	Agent - Life	5/31/2001	1/1/2011
Inactive	Davis, Dan A	343942	Administrator - Not Applicable	2/25/2000	10/21/2005
Inactive	Davis, Dan A	343942	Agent - Health	8/27/1999	3/31/2021
Inactive	Davis, Dan A	343942	Agent - Life	8/27/1999	3/31/2021
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	12/31/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Prepaid Dental Plan	11/30/1999	3/1/2001
Inactive	May, Clarence William	354133	Agent - Life	9/18/2002	1/24/2005
Inactive	O'Bryan, Scott A	365646	Agent - Health	9/18/2002	8/3/2006
Inactive	O'Bryan, Scott A	365646	Agent - Life	9/18/2002	8/3/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/8/2000	7/16/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/8/2000	7/16/2001