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	Life	6/5/2017	3/31/2025
Active	Non Resident	Agent	Health	6/5/2017	3/31/2025
* 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

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
Inactive	All Savers Insurance Company	301940	Agent - Health	8/8/2022	5/31/2023
Inactive	All Savers Insurance Company	301940	Agent - Life	8/8/2022	5/31/2023
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
Active	Anthem Life Insurance Company	301209	Agent - Health	3/29/2022
Active	Anthem Life Insurance Company	301209	Agent - Life	3/29/2022
Active	Cigna National Health Insurance Company	300235	Agent - Health	11/22/2022
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
Active	Pacific Life Insurance Company	301848	Agent - Life	7/26/2022
Active	SilverScript Insurance Company	663526	Agent - Health	11/4/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/1/2022	5/31/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/1/2022	5/31/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/1/2022	5/31/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/1/2022	5/31/2023

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