DEPARTMENT OF INSURANCE

Affiliations

Name	Benefit Services Group, Inc. [The]	DOIID	518477	NAIC NPN	687610

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/30/2000	9/1/2023
Inactive	Non Resident	Agent	Life	11/30/2000	9/1/2023
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	10/16/2012	12/8/2015
Inactive	Continental American Insurance Company	301700	Agent - Health	3/20/2017	9/1/2023
Inactive	Continental American Insurance Company	301700	Agent - Life	3/20/2017	9/1/2023
Inactive	Dental Care Plus Inc.	301495	Agent - Health	3/10/2017	9/1/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/16/2012	12/8/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/14/2017	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/14/2017	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	9/14/2017	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	8/15/2012	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/14/2017	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/14/2017	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/14/2017	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/14/2017	12/19/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/15/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/15/2012	10/22/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/10/2022	9/1/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/10/2022	9/1/2023
Inactive	Standard Insurance Company	300185	Agent - Health	3/2/2017	9/1/2023
Inactive	Standard Insurance Company	300185	Agent - Life	3/2/2017	9/1/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/16/2022	9/1/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/16/2022	9/1/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/16/2022	9/1/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	3/16/2022	9/1/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/16/2022	9/1/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	3/16/2022	9/1/2023
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	5/17/2017	9/1/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Frye, Gerald Walter	355042	Agent - Health	11/30/2000	9/1/2023
Inactive	Frye, Gerald Walter	355042	Agent - Life	11/30/2000	9/1/2023
Inactive	Tripp, Kevin A	1187809	Agent - Health	3/25/2022	9/1/2023
Inactive	Tripp, Kevin A	1187809	Agent - Life	3/25/2022	9/1/2023