DEPARTMENT OF INSURANCE

Affiliations

Name	Integra Benefits Inc	DOIID	800712	NAIC NPN	8408506

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/5/2022	12/2/2024
Inactive	Non Resident	Agent	Health	7/5/2022	12/2/2024
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/10/2019	12/1/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/10/2019	12/1/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/10/2019	12/1/2020
Inactive	Combined Insurance Company of America	301472	Agent - Health	5/5/2016	12/1/2016
Inactive	Combined Insurance Company of America	301472	Agent - Life	5/5/2016	12/1/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/2/2013	12/1/2016
Inactive	Companion Life Insurance Company	300191	Agent - Health	11/5/2013	12/1/2016
Inactive	Companion Life Insurance Company	300191	Agent - Life	11/5/2013	12/1/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/2/2013	12/1/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/21/2015	12/1/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/21/2015	12/1/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/2/2013	12/1/2016
Inactive	Humana Insurance Company	301104	Agent - Health	5/2/2013	12/1/2016
Inactive	Humana Insurance Company	301104	Agent - Life	5/2/2013	12/1/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/2/2013	12/1/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/2/2013	12/1/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/21/2015	12/1/2016
Denied	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/2/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/2/2013	10/22/2015
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	7/7/2022	6/14/2023
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	7/7/2022	6/14/2023
Inactive	Time Insurance Company	300683	Agent - Health	1/7/2013	12/1/2016
Inactive	Time Insurance Company	300683	Agent - Life	1/7/2013	12/1/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/7/2014	11/30/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/7/2014	11/30/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hayes, Richard J	799742	Agent - Health	7/5/2022	9/30/2024
Inactive	Hayes, Richard J	799742	Agent - Life	7/5/2022	9/30/2024