DEPARTMENT OF INSURANCE

Affiliations

Name	Benefit Advisors Services Group LLC	DOIID	769084	NAIC NPN	16448575

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	12/1/2011	3/31/2025
Active	Non Resident	Agent	Health	12/1/2011	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/5/2012
Active	Aetna Life Insurance Company	301140	Agent - Health	7/5/2012
Active	Aetna Life Insurance Company	301140	Agent - Life	7/5/2012
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/10/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	8/10/2019
Active	Anthem Life Insurance Company	301209	Agent - Life	8/10/2019
Active	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Health	9/25/2019
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	4/10/2015	9/24/2018
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/10/2015	9/24/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/23/2015	8/11/2016
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	4/10/2015	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/10/2015	6/16/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/10/2015	6/16/2022
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/14/2011
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/14/2011
Inactive	Humana Insurance Company	301104	Agent - Health	2/23/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	2/23/2012	9/3/2013
Active	Life Insurance Company of North America	300711	Agent - Health	11/12/2012
Active	Life Insurance Company of North America	300711	Agent - Life	11/12/2012
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/30/2012
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/30/2012
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/3/2014
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/3/2014
Active	ReliaStar Life Insurance Company	301712	Agent - Health	11/6/2012
Active	ReliaStar Life Insurance Company	301712	Agent - Life	11/6/2012
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	4/6/2012
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	4/6/2012
Active	Standard Insurance Company	300185	Agent - Health	3/19/2012
Active	Standard Insurance Company	300185	Agent - Life	3/19/2012
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	10/8/2015
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	10/8/2015
Active	Symetra Life Insurance Company	301691	Agent - Health	11/29/2017
Active	Symetra Life Insurance Company	301691	Agent - Life	11/29/2017
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/3/2014
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/3/2014
Active	United of Omaha Life Insurance Company	300156	Agent - Health	12/29/2016
Active	United of Omaha Life Insurance Company	300156	Agent - Life	12/29/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Davey, Daniel	711751	Agent - Health	5/9/2023
Active	Davey, Daniel	711751	Agent - Life	5/9/2023
Inactive	Davidson, Samantha L	639157	Agent - Health	12/17/2015	5/9/2023
Inactive	Davidson, Samantha L	639157	Agent - Life	12/17/2015	5/9/2023
Inactive	Schott, Christopher David	637820	Agent - Health	12/1/2011	7/24/2013
Inactive	Schott, Christopher David	637820	Agent - Life	12/1/2011	7/24/2013
Denied	Sullivan, Kenneth A	813686	Agent - Health
Denied	Sullivan, Kenneth A	813686	Agent - Life