DEPARTMENT OF INSURANCE

Affiliations

Name	Stefaniak, Benjamin Andrew	DOIID	889165	NAIC NPN	17480205

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/31/2015	9/30/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/14/2015	9/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/14/2015	9/30/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/18/2015	2/18/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/10/2019	4/7/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/20/2019	1/17/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	9/30/2020
Inactive	Dental Care Plus Inc.	301495	Agent - Health	6/1/2018	9/30/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/14/2015	9/30/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/21/2015	4/29/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/21/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/21/2015	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/21/2015	4/7/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/21/2015	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/21/2015	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/29/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/21/2015	10/22/2015
Inactive	Omaha Health Insurance Company	301296	Agent - Health	3/26/2019	9/30/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/18/2019	9/30/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/20/2015	10/21/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	10/21/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	10/21/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/20/2015	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/20/2015	10/21/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/18/2019	9/30/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/10/2018	9/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Retiremed IQ, LLC	682484	Agent - Health	10/15/2015	9/30/2020