DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Renaissance Benefit Advisors Inc	DOIID	536594	NAIC NPN	2098731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/24/2008		3/31/2026
Active	Non Resident	Agent	Health	6/24/2008		3/31/2026
* 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
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	8/2/2013	10/1/2022
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	11/23/2008	12/20/2018
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	11/23/2008	12/20/2018
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/4/2008	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/4/2008	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	11/4/2008	12/30/2019
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/4/2008	12/30/2019
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/22/2010
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/22/2010
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	12/5/2008	11/14/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	2/22/2011	11/14/2014
Active	Metropolitan Tower Life Insurance Company	300322	Agent - Life	5/14/2018
Active	Nationwide Life Insurance Company	300495	Agent - Health	7/21/2009
Active	Nationwide Life Insurance Company	300495	Agent - Life	7/21/2009
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Health	10/24/2009
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Life	10/24/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Breck, James Gifford	536559	Agent - Health	6/24/2008	4/23/2024
Inactive	Breck, James Gifford	536559	Agent - Life	6/24/2008	4/23/2024
Active	Carpenter, Joseph L	394133	Agent - Health	6/24/2008
Active	Carpenter, Joseph L	394133	Agent - Life	6/24/2008
Inactive	Leeper, Robert H	350938	Agent - Health	6/24/2008	8/31/2021
Inactive	Leeper, Robert H	350938	Agent - Life	6/24/2008	8/31/2021