DEPARTMENT OF INSURANCE

Affiliations

Name	Healthplan Services Insurance Agency, LLC	DOIID	398677	NAIC NPN	953574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/21/2020	3/31/2027
Active	Non Resident	Agent	Life	7/21/2020	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	02/22/2025	02/22/2025	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	4/8/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/13/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/18/2012	5/1/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	8/21/2004	5/1/2020
Inactive	American General Life Insurance Company	301585	Agent - Life	8/21/2004	5/1/2020
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	5/12/2006	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	5/12/2006	12/31/2012
Inactive	American National Insurance Company	301861	Agent - Health	12/29/2011	2/12/2019
Inactive	American National Insurance Company	301861	Agent - Life	12/29/2011	2/12/2019
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	2/3/2010	12/2/2010
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	2/3/2010	12/2/2010
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	11/22/1999	5/1/2020
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	11/22/1999	5/1/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/14/2013	5/1/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/14/2013	5/1/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/14/2013	5/1/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/7/2019	5/1/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/24/2020
Inactive	Clarendon National Insurance Company	300843	Agent - Health	9/16/2002	3/31/2008
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/14/2009	3/14/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/14/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/14/2009	7/2/2013
Active	Companion Life Insurance Company	300191	Agent - Health	1/23/2024
Active	Companion Life Insurance Company	300191	Agent - Life	1/23/2024
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	3/8/2013	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	3/8/2013	6/11/2014
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	5/1/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/30/2007	5/1/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/29/2017	5/1/2020
Inactive	Genworth Life Insurance Company	300623	Agent - Health	1/21/2003	1/7/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/21/2003	1/7/2014
Active	Golden Rule Insurance Company	301943	Agent - Health	1/14/2021
Active	Golden Rule Insurance Company	301943	Agent - Life	1/14/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/10/2015	5/1/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/30/2007	5/1/2020
Inactive	Humana Insurance Company	301104	Agent - Health	8/4/2003	5/1/2020
Inactive	Humana Insurance Company	301104	Agent - Life	8/4/2003	5/1/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/26/2004	5/1/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/26/2004	5/1/2020
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/30/2007	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/30/2007	12/19/2012
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	8/17/2001	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	8/17/2001	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	5/1/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	5/1/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/29/2015	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/29/2015	8/9/2018
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	12/8/2003	6/22/2007
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	12/8/2003	6/22/2007
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	10/22/2014	5/1/2020
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	10/22/2014	5/1/2020
Inactive	MedAmerica Insurance Company	301568	Agent - Health	9/11/2001	6/23/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/31/2005	5/26/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/31/2005	5/26/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/20/1999	1/23/2014
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/2/2005	10/3/2005
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	8/31/2007	5/1/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	8/31/2007	5/1/2020
Inactive	Omaha Insurance Company	751908	Agent - Health	5/4/2012	1/23/2014
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	4/18/2007	3/31/2009
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	4/18/2007	3/31/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/30/2004	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/30/2004	12/30/2009
Active	SilverScript Insurance Company	663526	Agent - Health	8/13/2020
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	1/29/2010	9/20/2018
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	1/29/2010	5/1/2020
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	8/20/2014	12/26/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	8/20/2014	12/26/2018
Inactive	Time Insurance Company	300683	Agent - Health	9/2/2008	11/15/2019
Inactive	Time Insurance Company	300683	Agent - Life	9/2/2008	11/15/2019
Inactive	Trustmark Insurance Company	300317	Agent - Health	11/1/2002	5/26/2005
Inactive	Trustmark Insurance Company	300317	Agent - Life	11/1/2002	5/26/2005
Inactive	Trustmark Life Insurance Company	301286	Agent - Health	4/25/2005	11/8/2017
Inactive	Trustmark Life Insurance Company	301286	Agent - Life	4/25/2005	11/8/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/25/2001	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/25/2001	12/30/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/18/2010	1/23/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/18/2010	1/23/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/7/2013	5/1/2020
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	5/1/2020
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/11/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/11/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	5/1/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/7/2013	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	5/1/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	5/1/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brodsky, Colman Lawrence	1090771	Agent - Health	2/10/2021	9/28/2021
Inactive	Brodsky, Colman Lawrence	1090771	Agent - Life	2/10/2021	9/28/2021
Inactive	Hulslander, Steven Vincent	308260	Agent - Health	11/22/1999	2/29/2020
Inactive	Hulslander, Steven Vincent	308260	Agent - Life	11/22/1999	2/29/2020
Inactive	Mclauchlin, James Capell	950148	Agent - Health	7/21/2020	11/30/2020
Inactive	Mclauchlin, James Capell	950148	Agent - Life	7/21/2020	11/30/2020
Active	Tatum, Richard Jennings	526791	Agent - Health	9/28/2021
Active	Tatum, Richard Jennings	526791	Agent - Life	9/28/2021