DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blue Chip Benefits LLC	DOIID	908624	NAIC NPN	17871257

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/4/2016		3/31/2026
Active	Non Resident	Agent	Life	3/4/2016		3/31/2026
* 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
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	4/15/2021
Active	Combined Insurance Company of America	301472	Agent - Health	4/12/2021
Active	Combined Insurance Company of America	301472	Agent - Life	4/12/2021
Active	Trustmark Insurance Company	300317	Agent - Health	8/19/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Graham, Mark Burnside	638756	Agent - Health	3/4/2016	8/24/2022
Inactive	Graham, Mark Burnside	638756	Agent - Life	3/4/2016	8/24/2022
Active	Ramsey, Ryan	1002323	Agent - Health	8/24/2022
Active	Ramsey, Ryan	1002323	Agent - Life	8/24/2022