DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Benepay Ins Services LLC	DOIID	878372	NAIC NPN	16498449

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/19/2015	3/31/2017
Inactive	Non Resident	Agent	Health	5/19/2015	3/31/2017
* 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	Fidelity Security Life Insurance Company	300466	Agent - Health	6/11/2015	3/31/2017
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/11/2015	3/31/2017
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/3/2015	3/31/2017
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/3/2015	3/31/2017
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/28/2015	3/31/2017
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/28/2015	3/31/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/15/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	6/15/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	6/15/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/15/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/15/2015	10/22/2015
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	6/1/2015	3/31/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/12/2015	12/2/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/12/2015	12/2/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/12/2015	3/31/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/12/2015	3/31/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tate, Malkia	878272	Agent - Health	5/19/2015	3/31/2017
Inactive	Tate, Malkia	878272	Agent - Life	5/19/2015	3/31/2017