DEPARTMENT OF INSURANCE

Affiliations

Name	The Benefit Warehouse PLLC DBA : TBW	DOIID	822342	NAIC NPN	17072671

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	9/27/2013	3/31/2027
Active	Resident	Agent	Life	9/27/2013	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	01/15/2025	03/31/2025	01/15/2025	01/15/2025	Yes

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	6/22/2018	7/7/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/22/2018	7/7/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/22/2018	7/7/2022
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/8/2014
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/8/2014
Active	American Heritage Life Insurance Company	300272	Agent - Health	9/7/2014
Active	American Heritage Life Insurance Company	300272	Agent - Life	9/7/2014
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	10/7/2014	1/12/2017
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/17/2015	10/5/2021
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/17/2015	10/5/2021
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/7/2014
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/7/2014
Active	Combined Insurance Company of America	301472	Agent - Health	6/17/2015
Active	Combined Insurance Company of America	301472	Agent - Life	6/17/2015
Active	Companion Life Insurance Company	300191	Agent - Health	8/31/2015
Active	Companion Life Insurance Company	300191	Agent - Life	8/31/2015
Active	Continental American Insurance Company	301700	Agent - Health	2/19/2025
Active	Continental American Insurance Company	301700	Agent - Life	2/19/2025
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	6/22/2018	6/15/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	4/18/2017	3/20/2024
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	4/18/2017	3/20/2024
Active	Guardian Life Insurance Company of America	301316	Agent - Health	5/18/2015
Active	Guardian Life Insurance Company of America	301316	Agent - Life	5/18/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	11/11/2013	10/29/2015
Active	Life Insurance Company of the Southwest	301867	Agent - Health	8/13/2024
Active	Life Insurance Company of the Southwest	301867	Agent - Life	8/13/2024
Active	National Guardian Life Insurance Company	300596	Agent - Health	8/11/2021
Active	Nationwide Life Insurance Company	300495	Agent - Health	8/16/2018
Active	Nationwide Life Insurance Company	300495	Agent - Life	8/16/2018
Active	Pacific Life Insurance Company	301848	Agent - Health	11/1/2023
Active	Pacific Life Insurance Company	301848	Agent - Life	11/1/2023
Active	Principal Life Insurance Company	300129	Agent - Health	4/11/2017
Active	Principal Life Insurance Company	300129	Agent - Life	4/11/2017
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/24/2018	11/25/2020
Inactive	Reserve National Insurance Company	301073	Agent - Health	2/26/2016	3/7/2024
Inactive	Reserve National Insurance Company	301073	Agent - Life	2/26/2016	3/7/2024
Active	S.USA Life Insurance Company, Inc.	301774	Agent - Health	2/13/2025
Active	Transamerica Life Insurance Company	300571	Agent - Health	7/29/2015
Active	Transamerica Life Insurance Company	300571	Agent - Life	7/29/2015
Inactive	Union Security Insurance Company	301844	Agent - Health	12/18/2015	2/15/2021
Inactive	Union Security Insurance Company	301844	Agent - Life	12/18/2015	2/15/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Combs, David Lee	527153	Agent - Health	9/27/2013
Active	Combs, David Lee	527153	Agent - Life	9/27/2013
Active	Meiners, Michael David	702323	Agent - Health	12/11/2014
Active	Meiners, Michael David	702323	Agent - Life	12/11/2014