DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Evan Leron	DOIID	714373	NAIC NPN	10380323

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	9/26/2009	9/30/2014
Inactive	Non Resident	Agent	Life	9/26/2009	9/30/2014
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/29/2009	9/30/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/29/2009	9/30/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/29/2009	9/30/2014
Inactive	American Continental Insurance Company	643130	Agent - Health	9/24/2012	2/17/2014
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/5/2009	6/26/2014
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/5/2009	10/10/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/5/2009	6/26/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/15/2010	6/14/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	1/15/2010	9/4/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	1/15/2010	9/4/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/25/2011	6/14/2013
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	6/9/2011	2/18/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	6/14/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/15/2010	6/14/2013
Inactive	Humana Insurance Company	301104	Agent - Health	6/15/2010	6/14/2013
Inactive	Humana Insurance Company	301104	Agent - Life	6/15/2010	6/14/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/15/2010	6/14/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/15/2010	6/14/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/30/2013	6/14/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/30/2013	6/14/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/20/2009	9/19/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/27/2009	10/27/2010
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/11/2011	9/30/2014
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/9/2009	8/12/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/20/2009	9/19/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/20/2009	9/19/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/13/2011	9/30/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/13/2011	9/30/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	10/6/2009	11/13/2014
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	10/20/2009	11/13/2014