DEPARTMENT OF INSURANCE

Affiliations

Name	Legacy Innovative Benefits Solutions LLC	DOIID	887432	NAIC NPN	16142113

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/18/2015	3/31/2027
Active	Non Resident	Agent	Health	8/18/2015	3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/3/2026
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/8/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	2/11/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/8/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	2/11/2019	12/6/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	1/4/2018	9/5/2018
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	4/7/2022	12/31/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Assurity Life Insurance Company	301099	Agent - Health	8/18/2015	12/27/2016
Inactive	Assurity Life Insurance Company	301099	Agent - Life	8/18/2015	12/27/2016
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/11/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/3/2026
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/3/2020	12/12/2024
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/9/2024
Active	Humana Insurance Company	301104	Agent - Health	3/15/2022
Active	SilverScript Insurance Company	663526	Agent - Health	4/8/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/14/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/14/2019	9/20/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Morgan, Donald E	545066	Agent - Health	8/18/2015
Active	Morgan, Donald E	545066	Agent - Life	8/18/2015