DEPARTMENT OF INSURANCE

Affiliations

Name	Liazon Benefits Inc	DOIID	710278	NAIC NPN	9724034

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/29/2009	10/18/2022
Inactive	Non Resident	Agent	Health	7/29/2009	10/18/2022
* 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	American Heritage Life Insurance Company	300272	Agent - Health	2/8/2012	10/15/2019
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	2/8/2012	10/15/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/1/2011	11/3/2016
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/1/2011	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/1/2011	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2011	11/2/2016
Inactive	Dental Care Plus Inc.	301495	Agent - Health	7/18/2014	10/18/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/12/2013	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/12/2013	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	9/12/2013	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/12/2013	5/1/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/6/2011	10/18/2022
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/6/2011	10/18/2022
Inactive	Prudential Insurance Company of America	300784	Agent - Health	7/24/2014	10/18/2022
Inactive	Prudential Insurance Company of America	300784	Agent - Life	7/24/2014	10/18/2022
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	8/23/2013	10/18/2022
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	8/23/2013	10/18/2022
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	8/23/2013	10/18/2022
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	8/23/2013	10/18/2022
Inactive	Symetra Life Insurance Company	301691	Agent - Health	10/25/2012	10/18/2022
Inactive	Symetra Life Insurance Company	301691	Agent - Life	10/25/2012	10/18/2022
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	7/2/2013	10/18/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Godzich, Timothy Michael	709285	Agent - Health	7/29/2009	5/31/2012
Inactive	Godzich, Timothy Michael	709285	Agent - Life	7/29/2009	5/31/2012
Inactive	Subramanian, Ashok	709284	Agent - Health	7/29/2009	2/1/2017
Inactive	Subramanian, Ashok	709284	Agent - Life	7/29/2009	2/1/2017
Inactive	Walthew, Daryl	709286	Agent - Health	7/29/2009	10/18/2022
Inactive	Walthew, Daryl	709286	Agent - Life	7/29/2009	10/18/2022