DEPARTMENT OF INSURANCE

Affiliations

Name	Ironwood Benefits Advisory Services LLC	DOIID	846084	NAIC NPN	16142524

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/22/2014	4/4/2022
Inactive	Non Resident	Agent	Health	7/22/2014	4/4/2022
* 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	9/16/2014	4/4/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/16/2014	4/4/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/16/2014	4/4/2022
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/1/2016	12/18/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/1/2016	12/18/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/23/2017	12/19/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/26/2019	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/26/2019	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/17/2017	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	6/17/2017	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	6/17/2017	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/17/2017	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/17/2017	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/26/2019	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/26/2019	12/19/2019
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/28/2014	4/4/2022
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/28/2014	4/4/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/29/2017	2/5/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/29/2017	2/5/2021
Inactive	Starmount Life Insurance Company	628031	Agent - Health	11/29/2017	2/5/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/29/2017	2/5/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/29/2017	2/5/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Watson, Mark Kennedy	323151	Agent - Health	7/22/2014	4/4/2022
Inactive	Watson, Mark Kennedy	323151	Agent - Life	7/22/2014	4/4/2022