DEPARTMENT OF INSURANCE

Affiliations

Name	Plansource Benefits Administration, Inc. DBA : PlanSource Holdings, Inc.	DOIID	708356	NAIC NPN	11123024

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	2/22/2022	3/31/2027
Active	Non Resident	Agent	Property	11/14/2024	3/31/2027
Active	Non Resident	Agent	Health	4/25/2013	3/31/2027
Active	Non Resident	Agent	Casualty	11/14/2024	3/31/2027
Active	Non Resident	Agent	Life	4/25/2013	3/31/2027
* 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	6/15/2015
Active	Aetna Life Insurance Company	301140	Agent - Health	6/15/2015
Active	Aetna Life Insurance Company	301140	Agent - Life	6/15/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/15/2016	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/15/2016	10/5/2021
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/29/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/29/2024
Active	Metropolitan Life Insurance Company	301948	Agent - Health	11/16/2016
Active	Metropolitan Life Insurance Company	301948	Agent - Life	11/16/2016
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/28/2015
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/28/2015
Active	Standard Insurance Company	300185	Agent - Health	12/17/2013
Active	Standard Insurance Company	300185	Agent - Life	12/17/2013
Active	Starmount Life Insurance Company	628031	Agent - Health	10/8/2021
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	10/30/2014
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	10/30/2014
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/28/2015
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/28/2015
Active	Unum Insurance Company	301499	Agent - Health	10/8/2021
Active	Unum Insurance Company	301499	Agent - Life	10/8/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Goin, Bruce Robert	687303	Agent - Health	6/25/2009	6/13/2012
Inactive	Goin, Bruce Robert	687303	Agent - Life	6/25/2009	6/13/2012
Active	Johnson, Joshua Jerome	797029	Administrator - Not Applicable	9/13/2024
Active	Johnson, Joshua Jerome	797029	Agent - Casualty	11/14/2024
Active	Johnson, Joshua Jerome	797029	Agent - Health	8/21/2024
Active	Johnson, Joshua Jerome	797029	Agent - Life	8/21/2024
Active	Johnson, Joshua Jerome	797029	Agent - Property	11/14/2024
Denied	Linusson, Lauren Marie	781205	Agent - Health
Denied	Linusson, Lauren Marie	781205	Agent - Life
Inactive	Messal, Anita Marie Quamme	600363	Administrator - Not Applicable	6/15/2017	9/30/2021
Inactive	Messal, Anita Marie Quamme	600363	Agent - Health	4/25/2013	9/30/2021
Inactive	Messal, Anita Marie Quamme	600363	Agent - Life	4/25/2013	9/30/2021
Inactive	Taylor, Bradley J	598967	Administrator - Not Applicable	2/22/2022	8/21/2024
Inactive	Taylor, Bradley J	598967	Agent - Health	4/8/2020	8/21/2024
Inactive	Taylor, Bradley J	598967	Agent - Life	4/8/2020	8/21/2024