DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Senior Benefits One LLC	DOIID	844134	NAIC NPN	17034306

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/20/2018	5/1/2019
Inactive	Non Resident	Agent	Life	2/20/2018	5/1/2019
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	4/18/2016	11/3/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/18/2016	11/3/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/18/2016	11/3/2017
Inactive	American General Life Insurance Company	301585	Agent - Health	6/9/2017	11/3/2017
Inactive	American General Life Insurance Company	301585	Agent - Life	6/9/2017	11/3/2017
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	9/6/2017	11/3/2017
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	5/1/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/18/2016	11/3/2017
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	9/7/2016	12/21/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	9/7/2016	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Health	9/7/2016	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Life	9/7/2016	12/21/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/22/2016	11/3/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	11/3/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/22/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/22/2016	11/3/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Grant, Steven	830526	Agent - Health	2/20/2018	2/28/2019
Inactive	Grant, Steven	830526	Agent - Life	2/20/2018	2/28/2019
Inactive	Spiewak, Matthew E	782590	Agent - Health	6/27/2014	11/3/2017
Inactive	Spiewak, Matthew E	782590	Agent - Life	6/27/2014	11/3/2017