DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Raymond, Eric	DOIID	621963	NAIC NPN	1003204

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/14/2005		7/31/2026
Active	Non Resident	Agent	Life	12/14/2005		7/31/2026
* 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	05/15/2024	07/31/2024	05/14/2024	05/14/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/12/2014	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/12/2014	12/10/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/16/2015	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/16/2015	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/16/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/16/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/16/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/16/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/16/2015	10/22/2015
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/9/2007	12/12/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/9/2007	12/12/2014
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/20/2006	5/11/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	1/20/2006	5/11/2008
Active	United of Omaha Life Insurance Company	300156	Agent - Health	11/1/2017
Active	United of Omaha Life Insurance Company	300156	Agent - Life	11/1/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/1/2006	12/12/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/1/2006	12/12/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/1/2006	12/12/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/1/2006	12/12/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Synergies Group LLC	618292	Agent - Life	1/25/2007	7/27/2010
Inactive	Corporate Synergies Group LLC	618292	Agent - Health	1/25/2007	7/27/2010
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2014	12/11/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2014	12/11/2020