DEPARTMENT OF INSURANCE

Affiliations

Name	Network Benefits of Mid America	DOIID	553298	NAIC NPN	964458

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/23/2002	3/31/2026
Active	Non Resident	Agent	Life	9/23/2002	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
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
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	4/23/2018
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/14/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/23/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	4/23/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/23/2002	12/28/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/23/2002	12/28/2006
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/16/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	2/16/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/31/2006	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/31/2006	12/16/2024
Active	Banner Life Insurance Company	301696	Agent - Life	12/6/2011
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	11/20/2019
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/11/2010
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/11/2010
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	2/16/2025
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	5/14/2021
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	12/12/2003	3/14/2012
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/12/2003	3/14/2012
Active	First Health Life & Health Insurance Company	301735	Agent - Health	4/23/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/11/2009	1/27/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/11/2009	1/27/2014
Inactive	Humana Insurance Company	301104	Agent - Health	11/25/2019	12/13/2022
Inactive	Medico Insurance Company	301559	Agent - Health	11/1/2021	12/21/2022
Inactive	Medico Insurance Company	301559	Agent - Life	11/1/2021	12/21/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/8/2006	1/27/2014
Active	Nippon Life Insurance Company of America	300446	Agent - Health	4/20/2018
Active	Nippon Life Insurance Company of America	300446	Agent - Life	4/20/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	7/9/2012	1/27/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/28/2009	10/25/2011
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/6/2006	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/6/2006	12/30/2009
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2019
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	8/3/2016
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Inactive	Trustmark Life Insurance Company	301286	Agent - Health	8/12/2013	11/24/2015
Inactive	Trustmark Life Insurance Company	301286	Agent - Life	8/12/2013	11/24/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/8/2006	1/27/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/8/2006	1/27/2014
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/28/2009
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	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	9/8/2011	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/7/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022
Inactive	Western National Life Insurance Company	300461	Agent - Life	2/18/2003	1/9/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Davis, Thomas C	593861	Agent - Health	1/25/2007	9/8/2010
Inactive	Davis, Thomas C	593861	Agent - Life	1/25/2007	12/1/2023
Active	Hatoway, Ronald W	341272	Agent - Health	11/19/2009
Active	Hatoway, Ronald W	341272	Agent - Life	11/19/2009