DEPARTMENT OF INSURANCE

Affiliations

Name	Premier Insurance Benefits LLC	DOIID	800634	NAIC NPN	8919667

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/23/2026	3/31/2027
Active	Non Resident	Agent	Property	4/23/2026	3/31/2027
Active	Non Resident	Agent	Life	1/3/2013	3/31/2027
Active	Non Resident	Agent	Health	1/3/2013	3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	8/31/2021	12/19/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/31/2021	12/19/2025
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/3/2026
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/3/2026
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/10/2014	12/8/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/31/2021	12/19/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/31/2021	12/19/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/10/2014	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/10/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/10/2014	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/10/2014	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/10/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/10/2014	10/22/2015
Active	National Health Insurance Company	300554	Agent - Health	9/11/2020
Active	National Health Insurance Company	300554	Agent - Life	9/11/2020
Active	Southern Guaranty Insurance Company	969411	Agent - Health	9/24/2025
Active	Tier One Insurance Company	301056	Agent - Health	9/12/2025
Inactive	Time Insurance Company	300683	Agent - Health	6/12/2014	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	6/12/2014	12/20/2014
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/16/2023	6/2/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/16/2023	6/2/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Rihan, Hani S	723305	Agent - Health	9/1/2020
Active	Rihan, Hani S	723305	Agent - Life	9/1/2020
Active	Rudolph, Kathryn Rose	1110408	Agent - Casualty	4/23/2026
Active	Rudolph, Kathryn Rose	1110408	Agent - Property	4/23/2026
Inactive	Schmidt, Dale Francis	653108	Agent - Health	7/5/2016	9/1/2020
Inactive	Schmidt, Dale Francis	653108	Agent - Life	7/5/2016	9/1/2020