PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBw Employee Benefits LLCDOIID683053NAIC NPN3899264
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife3/9/2024 3/31/2026
ActiveNon ResidentAgentHealth3/9/2024 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/7/200811/2/2016
InactiveAnthem Insurance Companies, Inc.300941Agent - Health7/7/200810/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health7/7/200811/2/2016
InactiveAnthem Life Insurance Company301209Agent - Life7/7/200811/2/2016
InactiveCompBenefits Dental, Inc.591692Agent - Health11/4/20165/2/2017
InactiveDental Concern Inc. (The)301641Agent - Health11/4/20165/2/2017
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health11/4/20165/2/2017
InactiveHumana Health Plan, Inc.300142Agent - Health11/4/20165/2/2017
InactiveHumana Insurance Company301104Agent - Health11/4/20165/2/2017
InactiveHumana Insurance Company301104Agent - Life11/4/20165/2/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/4/20165/2/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/4/20165/2/2017
InactiveNationwide Life Insurance Company300495Agent - Health5/29/201310/17/2019
InactiveNationwide Life Insurance Company300495Agent - Life5/29/201310/17/2019
InactiveProfessional Insurance Company301281Agent - Health11/24/200910/1/2023
InactiveProfessional Insurance Company301281Agent - Life11/24/200910/1/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/27/201910/1/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/27/201910/1/2023
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/27/201910/1/2023
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/27/201910/1/2023
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCrouch, Amy L 1083941Agent - Health2/24/20227/31/2023
InactiveCrouch, Amy L 1083941Agent - Life2/4/20227/31/2023
ActiveGilbert, Eric Jon 1231121Agent - Health3/9/2024 
ActiveGilbert, Eric Jon 1231121Agent - Life3/9/2024 
InactiveTambe, Paul Michael 683055Agent - Health6/24/200811/30/2021
InactiveTambe, Paul Michael 683055Agent - Life6/24/200811/30/2021

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