DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Benefitelect Alliance, LLC	DOIID	579757	NAIC NPN	7897998

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/30/2003	3/31/2007
Inactive	Non Resident	Agent	Life	10/30/2003	3/31/2007
* 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 Heritage Life Insurance Company	300272	Agent - Health	3/6/2004	3/31/2007
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/6/2004	3/31/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/19/2003	3/31/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/19/2003	3/31/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	7/5/2005	3/31/2007
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	7/5/2005	3/31/2007
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	7/5/2005	3/31/2007
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	7/5/2005	3/31/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Eagle, Charles Steven	520224	Agent - Health	10/30/2003	3/3/2005
Inactive	Eagle, Charles Steven	520224	Agent - Life	10/30/2003	3/3/2005
Inactive	Lonergan, Douglas Doolan	576119	Agent - Health	10/30/2003	5/23/2007
Inactive	Lonergan, Douglas Doolan	576119	Agent - Life	10/30/2003	5/23/2007