DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Benesolv LLC	DOIID	716919	NAIC NPN	13186162

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/2/2009	3/31/2013
Inactive	Non Resident	Agent	Life	11/2/2009	3/31/2013
* 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	8/29/2011	7/20/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/29/2011	7/20/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/16/2011	4/10/2012
Inactive	Humana Insurance Company	301104	Agent - Health	9/16/2011	4/10/2012
Inactive	Humana Insurance Company	301104	Agent - Life	9/16/2011	4/10/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/16/2011	4/10/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/16/2011	4/10/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/15/2010	3/31/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/15/2010	3/31/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/15/2010	3/31/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/15/2010	3/31/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Heiser, Scott R	385313	Agent - Health	11/2/2009	3/31/2013
Inactive	Heiser, Scott R	385313	Agent - Life	11/2/2009	3/31/2013