DEPARTMENT OF INSURANCE

Affiliations

Name	Tri-State Benefit Specialists	DOIID	879072	NAIC NPN	17590883

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/5/2017	3/31/2027
Active	Non Resident	Agent	Life	6/5/2017	3/31/2027
* 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	Accendo Insurance Company	300312	Agent - Health	5/20/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	5/20/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/4/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/20/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/4/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	11/4/2022
Active	All Savers Insurance Company	301940	Agent - Health	7/3/2025
Active	All Savers Insurance Company	301940	Agent - Life	7/3/2025
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/23/2023	4/14/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/23/2023	4/14/2023
Active	American Heritage Life Insurance Company	300272	Agent - Health	2/8/2024
Active	American Heritage Life Insurance Company	300272	Agent - Life	2/8/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/29/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/13/2022	8/12/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/29/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/29/2022	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/29/2022	4/15/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/13/2022	8/12/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/20/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/20/2023
Inactive	HealthSpring National Health Insurance Company	300235	Agent - Health	11/22/2022	12/26/2024
Active	Pacific Life Insurance Company	301848	Agent - Life	7/26/2022
Active	SilverScript Insurance Company	663526	Agent - Health	11/4/2022
Active	Standard Insurance Company	300185	Agent - Health	1/25/2025
Active	Standard Insurance Company	300185	Agent - Life	1/25/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/3/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	7/3/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/3/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/3/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Butler, Jesse Brett	516955	Agent - Health	6/5/2017
Active	Butler, Jesse Brett	516955	Agent - Life	6/5/2017