DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Jean B	DOIID	965286	NAIC NPN	6586001

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/28/2017	6/30/2021
Inactive	Non Resident	Agent	Life	8/28/2017	6/30/2021
* 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 Life Insurance Company	301209	Agent - Health	2/28/2018	6/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/28/2018	6/30/2021
Inactive	Aspen American Insurance Company	301513	Agent - Health	8/9/2019	12/14/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/30/2017	7/7/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/30/2017	7/7/2021
Inactive	LifeShield National Insurance Company	737111	Agent - Health	12/27/2018	12/30/2020
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	9/5/2017	6/30/2021
Inactive	Unified Life Insurance Company	543169	Agent - Health	9/1/2017	12/12/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/28/2018	6/30/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/28/2018	6/30/2021
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	9/28/2018	6/30/2021