DEPARTMENT OF INSURANCE
Affiliations
NameNational Benefits Group LLCDOIID1109015NAIC NPN8375769
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth11/4/2020 3/31/2026
ActiveNon ResidentAgentLife11/4/2020 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health4/8/2021 
ActiveAetna Health of Ohio Inc.1065035Agent - Health11/10/2020 
ActiveAetna Life Insurance Company301140Agent - Health4/8/2021 
ActiveAmeritas Life Insurance Corporation300126Agent - Health4/9/2024 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveNational Health Insurance Company300554Agent - Health11/14/2020 
ActiveNational Health Insurance Company300554Agent - Life11/14/2020 
ActiveSilverScript Insurance Company663526Agent - Health11/10/2020 
ActiveUnitedHealthcare Insurance Company300946Agent - Health5/9/2022 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health5/9/202212/22/2022
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health5/9/2022 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/31/2024 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health10/31/2024 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health10/31/2024 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveRoemerman, Daniel J 845475Agent - Health11/4/2020 
ActiveRoemerman, Daniel J 845475Agent - Life11/4/2020 

© Commonwealth of Kentucky. All rights reserved.