DEPARTMENT OF INSURANCE

Affiliations

Name	My Benefit Advisor LLC	DOIID	674657	NAIC NPN	8929602

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/6/2023	3/31/2026
Active	Non Resident	Agent	Property	11/6/2023	3/31/2026
Active	Non Resident	Agent	Health	7/11/2008	3/31/2026
Active	Non Resident	Agent	Life	7/11/2008	3/31/2026
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/3/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/23/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	1/3/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	1/3/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	4/23/2019	8/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/13/2020
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/1/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	2/13/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	2/13/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Cigna National Health Insurance Company	300235	Agent - Health	11/20/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/1/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/23/2019
Active	Dearborn Life Insurance Company	300401	Agent - Health	10/6/2008
Active	Dearborn Life Insurance Company	300401	Agent - Life	10/6/2008
Active	First Health Life & Health Insurance Company	301735	Agent - Health	1/3/2019
Active	Guardian Life Insurance Company of America	301316	Agent - Health	10/27/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Life	10/27/2021
Inactive	Lasso Healthcare Insurance Company	1022651	Agent - Health	8/22/2019	1/2/2024
Active	Medco Containment Life Insurance Company	301557	Agent - Health	1/11/2024
Active	SilverScript Insurance Company	663526	Agent - Health	10/19/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/24/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/24/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/24/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/24/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	9/20/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Baseman, Isadore R	897148	Agent - Casualty	11/6/2023
Active	Baseman, Isadore R	897148	Agent - Property	11/6/2023
Inactive	Caputo, Gina A	667741	Agent - Health	7/11/2008	1/25/2010
Inactive	Caputo, Gina A	667741	Agent - Life	7/11/2008	1/25/2010
Inactive	Hanney, Michael D	709017	Agent - Health	1/25/2010	11/30/2016
Inactive	Hanney, Michael D	709017	Agent - Life	1/25/2010	11/30/2016
Inactive	Roberts, Glynis Fiona	913992	Agent - Health	7/20/2016	9/5/2024
Inactive	Roberts, Glynis Fiona	913992	Agent - Life	7/20/2016	9/5/2024
Active	Scherff, Avon	1353729	Agent - Health	10/2/2024
Active	Scherff, Avon	1353729	Agent - Life	10/2/2024