DEPARTMENT OF INSURANCE

Affiliations

Name	The Benefit Source, LLC	DOIID	566756	NAIC NPN	7649709

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/15/2006	3/31/2015
Inactive	Resident	Agent	Life	9/15/2006	3/31/2015
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/17/2009	2/19/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/17/2009	2/19/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	6/7/2014
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	6/7/2014
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	1/15/2009	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	1/15/2009	12/31/2012
Inactive	American United Life Insurance Company	300498	Agent - Health	9/15/2006	5/17/2015
Inactive	American United Life Insurance Company	300498	Agent - Life	9/15/2006	5/17/2015
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/5/2009	3/31/2015
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	9/15/2006	3/31/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	1/6/2012	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	1/6/2012	9/16/2013
Inactive	CHA HMO, Inc.	300662	Agent - Health	9/15/2006	3/27/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/15/2006	4/21/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/15/2006	4/21/2015
Inactive	Companion Life Insurance Company	300191	Agent - Health	10/21/2013	3/31/2015
Inactive	Companion Life Insurance Company	300191	Agent - Life	10/21/2013	3/31/2015
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	9/15/2006	3/31/2015
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	9/15/2006	3/31/2015
Inactive	First Colony Life Insurance Company	301179	Agent - Health	9/15/2006	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	9/15/2006	1/1/2007
Inactive	General American Life Insurance Company	300280	Agent - Health	12/14/2006	11/20/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	12/14/2006	11/20/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	10/4/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/15/2006	4/10/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/15/2006	4/10/2015
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/15/2006	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/15/2006	7/2/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/29/2007	5/1/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/29/2007	5/1/2015
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	12/14/2006	11/20/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	12/14/2006	11/20/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/15/2006	3/31/2015
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/15/2006	3/31/2015
Inactive	Principal Life Insurance Company	300129	Agent - Health	4/27/2009	3/31/2015
Inactive	Principal Life Insurance Company	300129	Agent - Life	4/27/2009	3/31/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/15/2006	12/7/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/15/2006	12/7/2006
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	9/15/2006	3/31/2015
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	9/15/2006	3/31/2015
Inactive	Security Life Insurance Company of America	300936	Agent - Health	9/15/2006	10/18/2010
Inactive	Security Life Insurance Company of America	300936	Agent - Life	9/15/2006	10/18/2010
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	10/11/2007	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	10/11/2007	3/31/2009
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/25/2006	3/31/2015
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	10/25/2006	3/31/2015
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	6/11/2012	3/31/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/30/2013	3/31/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/30/2013	3/31/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/15/2006	12/7/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/15/2006	12/7/2006
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	9/15/2006	3/31/2015
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	9/15/2006	3/31/2015
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	9/15/2006	8/5/2009
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	9/15/2006	8/5/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/15/2006	3/31/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/15/2006	3/31/2015
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/15/2006	3/31/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/15/2006	3/31/2015
Denied		300277	Agent - Life

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dunaway, Katherine Michelle	357714	Agent - Health	9/15/2006	3/31/2015
Inactive	Dunaway, Katherine Michelle	357714	Agent - Life	9/15/2006	3/31/2015
Inactive	Harrod, Jill Lee	360357	Agent - Health	10/31/2006	4/29/2014
Inactive	Harrod, Jill Lee	360357	Agent - Life	10/31/2006	4/29/2014