DEPARTMENT OF INSURANCE
Affiliations
NameDonnelly, Benjamin DOIID1350782NAIC NPN20404137
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife7/17/2024 4/30/2026
ActiveNon ResidentAgentHealth7/17/2024 4/30/2026
* 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
Agent02/15/202604/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Life9/21/20245/29/2025
ActiveAetna Health Inc. (PA)660717Agent - Health7/23/2024 
InactiveAetna Health and Life Insurance Company300523Agent - Health9/21/20245/29/2025
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/23/2024 
ActiveAetna Life Insurance Company301140Agent - Health7/23/2024 
ActiveAmeritas Life Insurance Corporation300126Agent - Health3/11/2025 
ActiveArcadian Health Plan, Inc.728196Agent - Health6/2/2025 
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/17/20249/9/2025
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health8/22/20245/29/2025
ActiveGolden Rule Insurance Company301943Agent - Health7/23/2025 
ActiveGolden Rule Insurance Company301943Agent - Life7/23/2025 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health11/4/2024 
ActiveHumana Insurance Company301104Agent - Health8/16/2024 
ActiveHumana Medical Plan, Inc.801568Agent - Health5/22/2025 
ActiveSilverScript Insurance Company663526Agent - Health7/23/2024 
ActiveTier One Insurance Company301056Agent - Health10/9/2024 
ActiveTier One Insurance Company301056Agent - Life10/9/2024 
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/17/20249/9/2025
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/17/20249/9/2025
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health3/28/2025 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSmart Match Insurance Agency LLC829381Agent - Life9/21/20248/28/2025
InactiveSmart Match Insurance Agency LLC829381Agent - Health7/23/20248/28/2025

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