DEPARTMENT OF INSURANCE

Affiliations

Name	Benefits Advisor Specialist, LLC	DOIID	1026772	NAIC NPN	19030562

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	1/28/2019	3/31/2027
Active	Resident	Agent	Life	1/28/2019	3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	02/28/2025	02/28/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/7/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/12/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	2/7/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	2/7/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	3/12/2019	8/11/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/8/2019
Active	Bankers Fidelity Assurance Company	554627	Agent - Health	11/3/2020
Active	Bankers Fidelity Assurance Company	554627	Agent - Life	11/3/2020
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Health	11/3/2020
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Life	11/3/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/8/2019	12/22/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	CompBenefits Insurance Company	301864	Agent - Health	1/3/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/12/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/20/2021	12/13/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/11/2019	12/31/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	2/11/2019	12/31/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/30/2023	12/12/2024
Active	Humana Insurance Company	301104	Agent - Health	3/6/2019
Active	Humana Insurance Company	301104	Agent - Life	3/6/2019
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/11/2019
Active	Medco Containment Life Insurance Company	301557	Agent - Health	1/27/2025
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/8/2019	8/24/2020
Inactive	Omaha Health Insurance Company	301296	Agent - Health	9/24/2021	12/27/2024
Active	Philadelphia American Life Insurance Company	300178	Agent - Health	3/3/2021
Active	Philadelphia American Life Insurance Company	300178	Agent - Life	3/3/2021
Active	SilverScript Insurance Company	663526	Agent - Health	10/24/2019
Inactive	United World Life Insurance Company	300532	Agent - Health	10/8/2019	8/24/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/8/2019	8/24/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/8/2019	8/24/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/20/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/20/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/20/2019	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/20/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/8/2022	5/25/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022	5/25/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tucker, Dona Sue	857919	Agent - Health	1/28/2019
Active	Tucker, Dona Sue	857919	Agent - Life	1/28/2019