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.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health6/23/202211/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
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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