DEPARTMENT OF INSURANCE

Affiliations

Name	Connected Benefits LLC	DOIID	922924	NAIC NPN	18038036

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	6/28/2022	3/31/2026
Active	Non Resident	Agent	Health	6/28/2022	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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/6/2016	3/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/6/2016	3/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/6/2016	3/31/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/9/2017	6/24/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/9/2017	6/24/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/29/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/29/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/29/2022
Active	Anthem Life Insurance Company	301209	Agent - Health	6/29/2022
Active	Anthem Life Insurance Company	301209	Agent - Life	6/29/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/19/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/29/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/6/2016	3/31/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/16/2018	12/19/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	3/27/2018	3/31/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	3/27/2018	3/31/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/25/2017	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	12/19/2018	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	12/19/2018	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/3/2017	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/3/2017	12/19/2019
Inactive	National Health Insurance Company	300554	Agent - Health	8/29/2019	3/31/2022
Inactive	National Health Insurance Company	300554	Agent - Life	8/29/2019	3/31/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/19/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/14/2017	3/31/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/14/2017	3/31/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/14/2017	4/30/2018
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/19/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Buchman, Kristina	997227	Agent - Health	7/24/2018	3/31/2022
Inactive	Buchman, Kristina	997227	Agent - Life	7/24/2018	3/31/2022
Inactive	Gaydos, Robert	845158	Agent - Health	8/1/2016	3/31/2022
Inactive	Gaydos, Robert	845158	Agent - Life	8/1/2016	3/31/2022
Active	Hargis, Michael Scott	1292650	Agent - Health	10/25/2023
Active	Hargis, Michael Scott	1292650	Agent - Life	10/25/2023
Inactive	Jones, Clinton	925385	Agent - Health	6/28/2022	10/25/2023
Inactive	Jones, Clinton	925385	Agent - Life	6/28/2022	10/25/2023
Inactive	Poulin, Thomas Michel	991810	Agent - Health	5/25/2018	4/30/2021
Inactive	Poulin, Thomas Michel	991810	Agent - Life	5/25/2018	4/30/2021
Active	Swade, Rommie Charles	851352	Agent - Health	2/14/2024
Active	Swade, Rommie Charles	851352	Agent - Life	2/14/2024
Inactive	Wallace, William	956373	Agent - Health	6/21/2018	1/31/2021
Inactive	Wallace, William	956373	Agent - Life	6/21/2018	1/31/2021