DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kentucky Benefit Plans LLC	DOIID	749716	NAIC NPN	16172587

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/14/2011	3/31/2021
Inactive	Resident	Agent	Health	3/14/2011	3/31/2021
* 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	Nationwide Life Insurance Company	300495	Agent - Health	3/23/2011	11/4/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/23/2011	11/4/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Taylor, Robert Ellis	391940	Agent - Health	3/14/2011	3/31/2021
Inactive	Taylor, Robert Ellis	391940	Agent - Life	3/14/2011	3/31/2021