DEPARTMENT OF INSURANCE

Affiliations

Name	Beltran, Benjamin Roman	DOIID	808595	NAIC NPN	16815731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/13/2015	3/31/2023
Inactive	Non Resident	Agent	Life	7/13/2015	3/31/2023
* 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 General Life Insurance Company	301585	Agent - Health	10/16/2017	3/31/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	10/16/2017	3/31/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/31/2013	3/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/31/2013	3/31/2015
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/23/2013	3/31/2015
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	4/23/2013	3/31/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/26/2016	10/12/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/26/2016	10/12/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/2/2013	3/31/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/2/2013	3/31/2015
Inactive	HCC Life Insurance Company	301827	Agent - Health	8/12/2015	10/3/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/26/2016	10/12/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/26/2016	10/12/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/26/2016	10/12/2017
Inactive	Humana Insurance Company	301104	Agent - Health	2/26/2016	10/12/2017
Inactive	Humana Insurance Company	301104	Agent - Life	2/26/2016	10/12/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/26/2016	10/12/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/26/2016	10/12/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/26/2016	10/12/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	10/12/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/19/2013	5/20/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/19/2013	5/20/2014
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/23/2019	9/23/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/1/2020	5/18/2022
Inactive	Time Insurance Company	300683	Agent - Health	3/18/2014	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	3/18/2014	12/20/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/6/2019	11/10/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/6/2019	11/10/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/6/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/6/2019	10/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/2/2015	11/15/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	11/15/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2015	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015	11/15/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/31/2013	3/31/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/31/2013	3/31/2015
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	2/26/2016	10/12/2017
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	8/24/2015	11/29/2017