DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Benefits 365 Llc	DOIID	803250	NAIC NPN	16883062

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/7/2013	3/31/2017
Inactive	Non Resident	Agent	Life	2/7/2013	3/31/2017
Denied	Non Resident	Managing General Agent	Not Applicable
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	5/22/2013	3/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/22/2013	3/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/22/2013	3/31/2017
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/21/2014	10/24/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/29/2014	4/13/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/29/2014	4/13/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/3/2013	3/31/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/29/2014	4/13/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/29/2014	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Health	1/29/2014	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	1/29/2014	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2014	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2014	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/29/2014	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/29/2014	4/13/2015
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	10/27/2014	3/31/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/21/2013	9/9/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/21/2013	9/9/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ivany, Stefanie	803845	Agent - Health	2/9/2016	3/31/2017
Inactive	Ivany, Stefanie	803845	Agent - Life	2/9/2016	3/31/2017
Inactive	Poole, Tyler Laurence	741605	Agent - Health	2/7/2013	11/30/2015
Inactive	Poole, Tyler Laurence	741605	Agent - Life	2/7/2013	11/30/2015