DEPARTMENT OF INSURANCE

Affiliations

Name	Benefit Solutions Inc.	DOIID	401055	NAIC NPN	7222878

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/30/1993	11/21/1997
Inactive	Resident	Agent	Prepaid Dental Plan	11/27/1996	11/10/1997
Inactive	Resident	Agent	Life	4/30/1993	11/21/1997
Inactive	Resident	Agent	Health Maintenance Organization	9/28/1993	11/21/1997
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	6/19/1995	11/10/1997
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/19/1995	11/10/1997
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	11/8/1994	12/16/1996
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	11/8/1994	12/16/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/1/1993	11/10/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/1/1993	11/10/1997
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	12/15/1994	10/10/1997
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	12/15/1994	10/10/1997
Inactive	Dental Care Plus Inc.	301495	Agent - Prepaid Dental Plan	11/27/1996	11/10/1997
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/14/1994	11/10/1997
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/14/1994	11/10/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	9/28/1993	11/21/1997
Inactive	Humana Insurance Company	301104	Agent - Health	11/12/1993	11/21/1997
Inactive	Humana Insurance Company	300118	Agent - Health	1/5/1996	11/21/1997
Inactive	Humana Insurance Company	301104	Agent - Life	11/12/1993	11/21/1997
Inactive	Humana Insurance Company	300118	Agent - Life	1/5/1996	11/21/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/30/1993	11/10/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/30/1993	11/10/1997
Inactive	Standard Insurance Company	300185	Agent - Health	9/21/1993	11/10/1997
Inactive	Standard Insurance Company	300185	Agent - Life	9/21/1993	11/10/1997
Inactive	Symetra Life Insurance Company	301691	Agent - Health	12/11/1996	11/10/1997
Inactive	Symetra Life Insurance Company	301691	Agent - Life	12/11/1996	11/10/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	9/10/1996	11/10/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	9/10/1996	11/10/1997
Inactive	Union Security Insurance Company	301844	Agent - Health	4/8/1994	11/10/1997
Inactive	Union Security Insurance Company	301844	Agent - Life	4/8/1994	11/10/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/3/1994	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/3/1994	3/31/1997
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	7/12/1995	11/10/1997

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gerwe, Lawrence Paul	379326	Agent - Health	6/17/1993	11/10/1997
Inactive	Gerwe, Lawrence Paul	379326	Agent - Life	6/17/1993	11/10/1997
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	11/10/1997
Inactive	Scanlon, Geoffrey L	331123	Agent - Health	12/20/1993	11/10/1997
Inactive	Scanlon, Geoffrey L	331123	Agent - Life	12/20/1993	11/10/1997
Inactive	Skyrm, Catherine Ann	384963	Agent - Health	6/17/1993	11/10/1997
Inactive	Skyrm, Catherine Ann	384963	Agent - Life	6/17/1993	11/10/1997