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	Health	5/12/2004	3/31/2026
Active	Non Resident	Agent	Life	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	01/15/2026	03/31/2026
Agent	01/15/2026	03/31/2026

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