DEPARTMENT OF INSURANCE

Affiliations

Name	Boodram, Andrew	DOIID	785255	NAIC NPN	15724180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/10/2015	8/31/2022
Inactive	Non Resident	Agent	Life	3/10/2015	8/31/2022
* 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	American Financial Security Life Insurance Co.	301635	Agent - Health	6/19/2013	8/31/2014
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	6/19/2013	8/31/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/19/2015	12/8/2015
Inactive	Companion Life Insurance Company	300191	Agent - Health	3/7/2013	8/31/2014
Inactive	Companion Life Insurance Company	300191	Agent - Life	3/7/2013	8/31/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/19/2015	12/8/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	10/26/2012	6/2/2014
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	10/26/2012	6/2/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/19/2015	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/19/2015	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/19/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/19/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/19/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/19/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/19/2015	12/8/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/19/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/19/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/19/2015	10/22/2015
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	11/2/2017	5/4/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	1/29/2016	8/31/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	6/7/2013	8/31/2014
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	4/1/2013	8/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Source One Insurance Group, LLC	787497	Agent - Life	10/26/2012	2/27/2014
Inactive	Health Source One Insurance Group, LLC	787497	Agent - Health	10/26/2012	2/27/2014
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	10/26/2012	2/27/2014
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	10/26/2012	2/27/2014