DEPARTMENT OF INSURANCE

Affiliations

Name	Benefit Guaranty LLC	DOIID	595049	NAIC NPN	8022311

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	12/10/2021	3/31/2026
Active	Non Resident	Agent	Life	12/10/2021	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Health	11/9/2004	3/9/2005
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/6/2010	5/20/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/6/2010	5/20/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/6/2010	5/20/2012
Inactive	American Fidelity Assurance Company	301004	Agent - Health	8/22/2005	1/12/2006
Inactive	American Fidelity Assurance Company	301004	Agent - Life	8/22/2005	1/12/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	4/18/2005	2/7/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/18/2005	2/7/2011
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	6/8/2007	11/15/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/8/2007	11/15/2012
Inactive	Life Insurance Company of North America	300711	Agent - Health	12/7/2009	7/1/2014
Inactive	Life Insurance Company of North America	300711	Agent - Life	12/7/2009	7/1/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/18/2014	11/1/2021
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/18/2014	11/1/2021
Active	Metropolitan Life Insurance Company	301948	Agent - Health	1/23/2024
Active	Metropolitan Life Insurance Company	301948	Agent - Life	1/23/2024
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	12/1/2014	11/1/2021
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	12/1/2014	11/1/2021
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	10/13/2005	1/24/2006
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	10/13/2005	1/24/2006
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	10/14/2005	7/1/2014
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	10/14/2005	7/1/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/24/2006	10/19/2007
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/24/2006	10/19/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Black, William Pershing	354984	Agent - Health	9/29/2004	1/30/2006
Inactive	Black, William Pershing	354984	Agent - Life	9/29/2004	1/30/2006
Inactive	Denny, Joseph Paul	630496	Agent - Health	6/5/2006	12/31/2008
Inactive	Denny, Joseph Paul	630496	Agent - Life	6/5/2006	12/31/2008
Inactive	Keegan, Robert J	613015	Agent - Health	1/30/2006	10/29/2007
Inactive	Keegan, Robert J	613015	Agent - Life	1/30/2006	10/29/2007
Inactive	Lawton, Francis Asbury	651729	Agent - Health	9/3/2014	10/31/2016
Inactive	Lawton, Francis Asbury	651729	Agent - Life	9/3/2014	10/31/2016
Inactive	Palmer, Todd Z	651868	Agent - Health	3/9/2009	4/30/2014
Inactive	Palmer, Todd Z	651868	Agent - Life	3/9/2009	4/30/2014
Active	Puerta, Karen Johanna	1018397	Agent - Health	12/10/2021
Active	Puerta, Karen Johanna	1018397	Agent - Life	12/10/2021
Inactive	White, Christopher J	780848	Agent - Health	9/3/2014	8/31/2021
Inactive	White, Christopher J	780848	Agent - Life	9/3/2014	8/31/2021