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	3/31/2027
Active	Non Resident	Agent	Health	12/1/2011	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	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
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/10/2019	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/10/2019	4/15/2025
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
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Health	12/16/2024

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