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	Health	10/7/2003		3/31/2027
Active	Resident	Agent	Life	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	01/15/2025	01/15/2025	Yes

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
Active	Kusiak, Walter K	320558	Agent - Health	5/1/2023
Active	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