DEPARTMENT OF INSURANCE

Affiliations

Name	Namely Employee Benefits LLC DBA : Namely Insurance Services	DOIID	937081	NAIC NPN	18178998

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	12/13/2024	3/31/2026
Active	Non Resident	Agent	Life	12/13/2024	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	10/9/2017	11/11/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/3/2017	11/11/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/3/2017	11/11/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/29/2019	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/29/2019	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/29/2019	12/10/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/16/2018	4/12/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/16/2018	4/12/2019
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/3/2017	11/11/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/3/2019	4/8/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	11/10/2020	11/11/2024
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	11/10/2020	11/11/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/6/2018	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/6/2018	10/5/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/26/2019	11/11/2024
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/26/2019	11/11/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/11/2019	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Health	11/11/2019	4/8/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/3/2019	4/8/2020
Active	Metropolitan Life Insurance Company	301948	Agent - Health	12/18/2024
Active	Metropolitan Life Insurance Company	301948	Agent - Life	12/18/2024
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	11/13/2018	12/10/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/13/2018	12/10/2020
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	8/27/2018	11/11/2024
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	8/27/2018	11/11/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/1/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/1/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/1/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	2/1/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/1/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	2/1/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Autuori, Gregory M	921395	Agent - Health	3/5/2018	11/11/2024
Inactive	Autuori, Gregory M	921395	Agent - Life	3/5/2018	11/11/2024
Inactive	Lahayne, Robert Russell	865529	Agent - Health	11/14/2016	3/5/2018
Inactive	Lahayne, Robert Russell	865529	Agent - Life	11/14/2016	3/5/2018
Inactive	Marincik, Christopher John	911477	Agent - Health	12/19/2018	4/30/2021
Inactive	Marincik, Christopher John	911477	Agent - Life	12/19/2018	4/30/2021
Inactive	Monahan, Matthew Kenneth	762802	Agent - Health	12/19/2018	6/7/2019
Inactive	Monahan, Matthew Kenneth	762802	Agent - Life	12/19/2018	6/7/2019
Active	Thompson, Daniel C	1108435	Agent - Health	12/13/2024
Active	Thompson, Daniel C	1108435	Agent - Life	12/13/2024