DEPARTMENT OF INSURANCE

Affiliations

Name	Golden Age Benefits LLC	DOIID	748903	NAIC NPN	16152982

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/28/2011	3/31/2027
Active	Non Resident	Agent	Health	2/28/2011	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	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/11/2011
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/9/2012
Active	Aetna Life Insurance Company	301140	Agent - Life	5/9/2012
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	12/30/2013	5/3/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	1/17/2025
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	1/23/2025
Active	First Health Life & Health Insurance Company	301735	Agent - Health	3/14/2011
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/21/2012	12/31/2014
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/21/2012	12/31/2014
Inactive	Lasso Healthcare Insurance Company	1022651	Agent - Health	10/12/2022	1/2/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Health	4/22/2019	2/17/2023
Inactive	Omaha Insurance Company	751908	Agent - Health	11/28/2012	10/22/2013
Inactive	Reserve National Insurance Company	301073	Agent - Health	9/12/2013	5/10/2016
Inactive	Reserve National Insurance Company	301073	Agent - Life	9/12/2013	5/10/2016
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2019
Inactive	Washington National Insurance Company	300587	Agent - Health	3/9/2011	12/22/2014
Inactive	Washington National Insurance Company	300587	Agent - Life	3/9/2011	12/22/2014
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	5/13/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Miller, Raymond William	724943	Agent - Health	2/28/2011
Active	Miller, Raymond William	724943	Agent - Life	2/28/2011