DEPARTMENT OF INSURANCE

Affiliations

Name	Network Benefits of Mid America	DOIID	553298	NAIC NPN	964458

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/23/2002	3/31/2026
Active	Non Resident	Agent	Life	9/23/2002	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
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/23/2018
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/14/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/23/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	4/23/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/23/2002	12/28/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/23/2002	12/28/2006
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/31/2006
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/31/2006	10/16/2012
Active	Anthem Life Insurance Company	301209	Agent - Health	10/31/2006
Active	Anthem Life Insurance Company	301209	Agent - Life	10/31/2006
Active	Banner Life Insurance Company	301696	Agent - Life	12/6/2011
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	11/20/2019
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/11/2010
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/11/2010
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/14/2021
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	12/12/2003	3/14/2012
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/12/2003	3/14/2012
Active	First Health Life & Health Insurance Company	301735	Agent - Health	4/23/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/11/2009	1/27/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/11/2009	1/27/2014
Inactive	Humana Insurance Company	301104	Agent - Health	11/25/2019	12/13/2022
Inactive	Medico Insurance Company	301559	Agent - Health	11/1/2021	12/21/2022
Inactive	Medico Insurance Company	301559	Agent - Life	11/1/2021	12/21/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/8/2006	1/27/2014
Active	Nippon Life Insurance Company of America	300446	Agent - Health	4/20/2018
Active	Nippon Life Insurance Company of America	300446	Agent - Life	4/20/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	7/9/2012	1/27/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/28/2009	10/25/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/6/2006	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/6/2006	12/30/2009
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2019
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	8/3/2016
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Inactive	Trustmark Life Insurance Company	301286	Agent - Health	8/12/2013	11/24/2015
Inactive	Trustmark Life Insurance Company	301286	Agent - Life	8/12/2013	11/24/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/8/2006	1/27/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/8/2006	1/27/2014
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/28/2009
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/8/2011	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/7/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022
Inactive	Western National Life Insurance Company	300461	Agent - Life	2/18/2003	1/9/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Davis, Thomas C	593861	Agent - Health	1/25/2007	9/8/2010
Inactive	Davis, Thomas C	593861	Agent - Life	1/25/2007	12/1/2023
Active	Hatoway, Ronald W	341272	Agent - Health	11/19/2009
Active	Hatoway, Ronald W	341272	Agent - Life	11/19/2009