DEPARTMENT OF INSURANCE

Affiliations

Name	Benefits Simplified, LLC	DOIID	578256	NAIC NPN	7902799

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	5/28/2008	6/1/2010
Active	Resident	Agent	Life	10/7/2003		3/31/2027
Active	Resident	Agent	Health	10/7/2003		3/31/2027
* 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	Aetna Health Inc.	300694	Agent - Health	8/16/2004	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/21/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/16/2004	9/21/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/16/2004	9/21/2010
Active	American Heritage Life Insurance Company	300272	Agent - Health	10/21/2003
Active	American Heritage Life Insurance Company	300272	Agent - Life	10/21/2003
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/29/2004	11/3/2010
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/29/2004	11/3/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/29/2004	11/3/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/29/2004	11/3/2010
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	6/29/2004	3/31/2019
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	6/16/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	6/16/2004	7/2/2007
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/29/2007
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/29/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Combs, David Lee	527153	Agent - Health	5/17/2004	2/19/2007
Inactive	Combs, David Lee	527153	Agent - Life	5/17/2004	2/19/2007
Inactive	Howard, Mitchell Shane	556292	Agent - Health	5/17/2004	6/23/2008
Inactive	Howard, Mitchell Shane	556292	Agent - Life	5/17/2004	6/23/2008
Pending Replacement	Kusiak, Walter K	320558	Agent - Health	5/1/2023
Pending Replacement	Kusiak, Walter K	320558	Agent - Life	6/30/2021
Inactive	Leveille, Carolyn S	305104	Agent - Health	5/17/2004	12/28/2006
Inactive	Leveille, Carolyn S	305104	Agent - Life	5/17/2004	12/28/2006
Inactive	Mullins, Brandy S	527150	Administrator - Not Applicable	5/28/2008	3/31/2010
Inactive	Mullins, Brandy S	527150	Agent - Health	10/7/2003	4/1/2010
Inactive	Mullins, Brandy S	527150	Agent - Life	10/7/2003	4/1/2010
Inactive	Patton, Dallas Frederick	388479	Agent - Health	5/17/2004	10/1/2010
Inactive	Patton, Dallas Frederick	388479	Agent - Life	5/17/2004	10/1/2010
Inactive	Patton, Pennie Jolene	527151	Agent - Health	5/17/2004	5/31/2005
Inactive	Patton, Pennie Jolene	527151	Agent - Life	5/17/2004	5/31/2005
Active	Patton, Robert Wendell	319832	Agent - Health	5/17/2004
Active	Patton, Robert Wendell	319832	Agent - Life	5/17/2004
Active	Patton, Ronnie D	385911	Agent - Health	5/17/2004
Active	Patton, Ronnie D	385911	Agent - Life	5/17/2004
Inactive	Patton, Tammy R	556293	Agent - Health	5/17/2004	5/31/2006
Inactive	Patton, Tammy R	556293	Agent - Life	5/17/2004	5/31/2006
Inactive	Proffitt, Randy E	373024	Agent - Health	5/17/2004	2/19/2007
Inactive	Proffitt, Randy E	373024	Agent - Life	5/17/2004	2/19/2007
Active	Robbins, Starlena Ann	354791	Agent - Health	11/26/2008
Active	Robbins, Starlena Ann	354791	Agent - Life	11/26/2008
Active	Smith, Karen Sue	527152	Agent - Health	5/6/2008
Active	Smith, Karen Sue	527152	Agent - Life	5/17/2004
Inactive	Trujano, Jose Alfredo	551830	Agent - Health	5/17/2004	4/30/2008
Inactive	Trujano, Jose Alfredo	551830	Agent - Life	5/17/2004	4/30/2008
Inactive	Wilson, Linda Ann	339913	Agent - Health	5/17/2004	5/31/2007
Inactive	Wilson, Linda Ann	339913	Agent - Life	5/17/2004	5/31/2007