DEPARTMENT OF INSURANCE
Affiliations
NameLegacy Benefits Solutions LlcDOIID892515NAIC NPN15692949
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/24/2015 3/31/2027
ActiveNon ResidentAgentLife9/24/2015 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health6/23/202211/17/2023
ActiveAccendo Insurance Company300312Agent - Life2/23/2026 
ActiveAetna Health Inc. (PA)660717Agent - Health9/29/2015 
ActiveAetna Health and Life Insurance Company300523Agent - Health12/2/2015 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/21/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/29/2015 
ActiveAetna Life Insurance Company301140Agent - Life9/29/2015 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/26/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health5/26/20215/27/2021
InactiveAnthem Life Insurance Company301209Agent - Life5/26/20215/27/2021
ActiveArcadian Health Plan, Inc.728196Agent - Health12/13/2022 
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health3/21/202310/20/2023
InactiveCompBenefits Dental, Inc.591692Agent - Health5/17/201612/13/2016
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life6/23/2022 
InactiveDental Concern Inc. (The)301641Agent - Health5/17/201612/13/2016
ActiveFirst Health Life & Health Insurance Company301735Agent - Health9/29/2015 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health5/17/201612/13/2016
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health6/23/2023 
InactiveHumana Health Plan, Inc.300142Agent - Health5/17/20166/15/2018
InactiveHumana Insurance Company301104Agent - Health5/17/201612/12/2024
InactiveHumana Insurance Company301104Agent - Life5/17/201612/12/2024
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/17/201612/13/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/17/201612/13/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health5/17/201612/13/2016
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health1/18/201712/16/2024
ActiveSilverScript Insurance Company663526Agent - Health10/20/2019 
InactiveUnitedHealthcare Insurance Company300946Agent - Health1/8/201812/17/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/4/201612/17/2024
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201910/15/2019
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/6/202212/17/2024
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/11/202112/17/2024
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health3/21/202310/20/2023
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/201912/29/2021
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health7/1/2021 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/11/201812/29/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBloomer, Carl R 601550Agent - Health9/23/2015 
ActiveBloomer, Carl R 601550Agent - Life9/23/2015 

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