DEPARTMENT OF INSURANCE

Affiliations

Name	Key Benefit Administrators Inc.	DOIID	396075	NAIC NPN	957848

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	7/22/1988	3/31/2026
Active	Non Resident	Agent	Life	5/12/2004	3/31/2026
Active	Non Resident	Agent	Health	5/12/2004	3/31/2026
* 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
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	12/10/2022
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/17/2011
Active	Aetna Health Insurance Company	301583	Agent - Health	9/16/2014
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/29/2016
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/17/2011
Active	Aetna Life Insurance Company	301140	Agent - Life	11/17/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/10/2012	10/24/2013
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	11/16/2014
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	11/16/2014
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	12/9/2011	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	12/9/2011	12/31/2012
Inactive	American National Insurance Company	301861	Agent - Health	3/6/2008	6/2/2021
Inactive	American National Insurance Company	301861	Agent - Life	3/6/2008	9/23/2019
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	5/10/2021	12/23/2022
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	5/10/2021	12/23/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/19/2018
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/17/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/12/2010	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/12/2010	11/2/2016
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	12/19/2007	6/10/2011
Inactive	Athene Annuity and Life Company	301893	Agent - Health	10/1/2008	1/5/2011
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/1/2008	1/5/2011
Inactive	Aviva Life Insurance Company	301615	Agent - Health	11/29/2004	10/1/2008
Inactive	Aviva Life Insurance Company	301615	Agent - Life	11/29/2004	10/1/2008
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/16/2016
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	12/16/2016
Inactive	CSI Life Insurance Company	596032	Agent - Health	1/26/2017	10/7/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	11/19/2021	12/28/2022
Active	Companion Life Insurance Company	300191	Agent - Health	4/11/2023
Active	Companion Life Insurance Company	300191	Agent - Life	4/11/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/12/2025
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	6/1/2006	10/14/2016
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	6/1/2006	10/14/2016
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	1/23/2025
Inactive	Encova Life Insurance Company	301818	Agent - Life	9/12/2012	1/1/2024
Active	First Health Life & Health Insurance Company	301735	Agent - Health	9/16/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Health	2/28/2012	1/7/2015
Inactive	Forethought Life Insurance Company	301407	Agent - Life	2/28/2012	1/7/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/8/2009	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/8/2009	12/26/2012
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	5/26/2020	1/11/2022
Inactive	HealthSpring National Health Insurance Company	300235	Agent - Health	6/14/2023	12/26/2024
Inactive	HealthSpring National Health Insurance Company	300235	Agent - Life	2/23/2005	11/28/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/21/2014	8/11/2016
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	3/1/2005	5/27/2010
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	3/1/2005	5/27/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	10/6/2010	12/31/2012
Inactive	Lumico Life Insurance Company	300354	Agent - Health	6/4/2020	2/17/2023
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	3/8/2017	2/7/2019
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	11/18/2020
Active	Medco Containment Life Insurance Company	301557	Agent - Health	2/10/2025
Active	Medico Corp Life Insurance Company	301777	Agent - Health	4/7/2025
Active	Medico Corp Life Insurance Company	301777	Agent - Life	4/7/2025
Active	Medico Insurance Company	301559	Agent - Health	1/29/2025
Active	Medico Insurance Company	301559	Agent - Life	1/29/2025
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	10/20/2017	12/26/2018
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	10/20/2017	12/26/2018
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/10/2006	1/26/2014
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	10/20/2012	1/3/2014
Active	National Health Insurance Company	300554	Agent - Health	2/7/2025
Active	National Health Insurance Company	300554	Agent - Life	2/7/2025
Inactive	Omaha Health Insurance Company	301296	Agent - Health	10/4/2018	12/27/2024
Inactive	Omaha Insurance Company	751908	Agent - Health	4/26/2012	1/26/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/30/2008	10/25/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	9/30/2008	7/17/2012
Active	Pan-American Life Insurance Company	301530	Agent - Life	1/1/2024
Active	QBE Insurance Corporation	300515	Agent - Health	2/25/2021
Active	SilverScript Insurance Company	663526	Agent - Health	10/16/2019
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	3/15/2005	11/7/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	3/15/2005	11/7/2022
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/11/2021
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	6/30/2004	10/4/2007
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	6/30/2004	10/4/2007
Inactive	United World Life Insurance Company	300532	Agent - Health	4/10/2006	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/10/2006	1/26/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/10/2006	1/26/2014
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/10/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	9/30/2008
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/10/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/25/2011	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/10/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/3/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/3/2022
Active	Western United Life Insurance Company	659052	Agent - Health	12/16/2019
Inactive	Westport Insurance Corporation	301875	Agent - Health	3/7/2016	4/20/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boarman, Rita	721430	Agent - Health	1/30/2010	3/31/2016
Inactive	Boarman, Rita	721430	Agent - Life	1/30/2010	3/31/2016
Inactive	Brown, Jerry D.	325351	Administrator - Not Applicable	7/22/1988	3/31/1997
Active	Dust, Larry R.	359389	Administrator - Not Applicable	7/22/1988
Active	Dust, Larry R.	359389	Agent - Health	5/12/2004
Active	Dust, Larry R.	359389	Agent - Life	5/12/2004
Active	Hancock, Teresa Lynn	721404	Agent - Health	2/17/2010
Active	Hancock, Teresa Lynn	721404	Agent - Life	2/17/2010
Active	Hina, Henry	696752	Agent - Health	1/8/2010
Active	Hina, Henry	696752	Agent - Life	1/8/2010
Inactive	Imes, Stephen Eugene	332913	Agent - Health	7/28/2004	9/30/2013
Inactive	Imes, Stephen Eugene	332913	Agent - Life	7/28/2004	9/30/2013
Active	Powell, Lisa M	635084	Agent - Health	5/11/2011
Active	Powell, Lisa M	635084	Agent - Life	5/11/2011
Inactive	Ray, Bradley P.	307350	Administrator - Not Applicable	7/22/1988	3/31/1997
Inactive	Swope, Mark Steven	568529	Agent - Health	2/9/2005	1/8/2010
Inactive	Swope, Mark Steven	568529	Agent - Life	2/9/2005	1/8/2010