DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Manning & Napier Benefits LLC	DOIID	758494	NAIC NPN	8636190

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/15/2011	3/31/2019
Inactive	Non Resident	Agent	Life	7/15/2011	3/31/2019
* 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	8/23/2011	3/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/23/2011	3/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/23/2011	3/31/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/5/2015	2/5/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/5/2015	2/5/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/25/2015	1/15/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/25/2015	1/15/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/25/2015	1/15/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/25/2015	1/15/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Buchanan, Erin C.	872976	Agent - Health	4/5/2015	3/31/2019
Inactive	Buchanan, Erin C.	872976	Agent - Life	4/5/2015	3/31/2019
Inactive	Samek, Peter	757421	Agent - Health	7/15/2011	4/20/2015
Inactive	Samek, Peter	757421	Agent - Life	7/15/2011	4/20/2015