DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Optimal Benefits & Ins Services LLC	DOIID	960550	NAIC NPN	17010232

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/17/2017	3/31/2021
Inactive	Non Resident	Agent	Health	7/17/2017	3/31/2021
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/3/2017	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/3/2017	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/3/2017	10/20/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fernandez, Ray George	959772	Agent - Health	7/17/2017	3/31/2021
Inactive	Fernandez, Ray George	959772	Agent - Life	7/17/2017	3/31/2021