DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Affinity Benefit Solutions LLC	DOIID	695177	NAIC NPN	12346039

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/26/2014	3/31/2020
Inactive	Non Resident	Agent	Life	6/26/2014	3/31/2020
* 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	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/1/2019	3/31/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/1/2019	3/31/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aaron, Ashley Dean	723313	Agent - Health	6/26/2014	3/31/2020
Inactive	Aaron, Ashley Dean	723313	Agent - Life	6/26/2014	3/31/2020
Denied	Dozier, Nemery Steven	669291	Agent - Health
Denied	Dozier, Nemery Steven	669291	Agent - Life