DEPARTMENT OF INSURANCE

Affiliations

Name	Ican Benefit Group, LLC	DOIID	663794	NAIC NPN	8890627

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/16/2007	3/31/2023
Inactive	Non Resident	Agent	Health	10/16/2007	3/31/2023
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/21/2009	3/31/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/2/2018	3/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/21/2009	3/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/21/2009	3/31/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	7/2/2018	8/11/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/23/2014	3/31/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/23/2014	3/31/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/23/2014	3/31/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	11/12/2008	1/26/2011
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	11/12/2008	1/26/2011
Inactive	Banner Life Insurance Company	301696	Agent - Life	2/6/2015	3/31/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/28/2009	6/15/2018
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/28/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	5/28/2009	7/2/2013
Inactive	Companion Life Insurance Company	300191	Agent - Health	11/7/2013	10/29/2018
Inactive	Companion Life Insurance Company	300191	Agent - Life	11/7/2013	10/29/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/2/2018	3/31/2023
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	7/18/2014	6/15/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	7/18/2014	6/15/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/28/2009	6/15/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Health	5/28/2015	3/13/2020
Inactive	Gerber Life Insurance Company	300529	Agent - Life	5/28/2015	3/13/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/19/2013	2/18/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/19/2013	2/18/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	5/16/2020	12/31/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	10/28/2010	1/3/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/28/2009	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	2/6/2014	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	2/6/2014	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/28/2009	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/28/2009	6/15/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/23/2010	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/23/2010	10/22/2015
Inactive	LifeShield National Insurance Company	737111	Agent - Life	5/21/2019	12/5/2022
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	9/16/2015	11/6/2016
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	9/16/2015	11/6/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	5/20/2015	4/19/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	5/20/2015	4/19/2018
Inactive	Medico Insurance Company	301559	Agent - Health	5/20/2015	11/8/2018
Inactive	Medico Insurance Company	301559	Agent - Life	5/20/2015	11/8/2018
Inactive	National Health Insurance Company	300554	Agent - Health	12/8/2018	4/12/2022
Inactive	National Health Insurance Company	300554	Agent - Life	12/8/2018	4/12/2022
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/20/2016	6/30/2018
Inactive	PHL Variable Insurance Company	300525	Agent - Life	6/8/2015	12/2/2020
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	2/25/2008	9/2/2009
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	2/25/2008	9/2/2009
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	2/6/2015	10/1/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	2/6/2015	10/1/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020	3/31/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020	3/31/2023
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/27/2015	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/27/2015	10/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/29/2016	1/26/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	1/26/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/29/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/29/2016	1/26/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fingal, Stephen A	680751	Agent - Health	2/11/2016	8/25/2017
Inactive	Fingal, Stephen A	680751	Agent - Life	2/11/2016	8/25/2017
Inactive	Goldberg, Neil H	728628	Agent - Health	8/8/2016	10/31/2022
Inactive	Goldberg, Neil H	728628	Agent - Life	8/8/2016	10/31/2022
Inactive	Johnson, Elizabeth Elaine	820511	Agent - Health	8/8/2016	11/30/2020
Inactive	Johnson, Elizabeth Elaine	820511	Agent - Life	8/8/2016	11/30/2020
Inactive	Mirsky, Michael Alex	724425	Agent - Health	8/8/2016	3/31/2023
Inactive	Mirsky, Michael Alex	724425	Agent - Life	8/8/2016	3/31/2023
Inactive	Ocanto, Victor Manuel	818658	Agent - Health	8/8/2016	3/31/2023
Inactive	Ocanto, Victor Manuel	818658	Agent - Life	8/8/2016	3/31/2023
Inactive	Petit Homme, Serge	737092	Agent - Health	8/8/2016	3/31/2023
Inactive	Petit Homme, Serge	737092	Agent - Life	8/8/2016	3/31/2023
Inactive	Shatz, Samuel G	624273	Agent - Health	10/16/2007	3/24/2016
Inactive	Shatz, Samuel G	624273	Agent - Life	10/16/2007	3/24/2016
Inactive	Smith-Morrison, Nicole	823546	Agent - Health	8/8/2016	3/31/2023
Inactive	Smith-Morrison, Nicole	823546	Agent - Life	8/8/2016	3/31/2023
Inactive	Tucker, Stephen Marc	933636	Agent - Health	8/25/2017	11/30/2022
Inactive	Tucker, Stephen Marc	933636	Agent - Life	8/25/2017	11/30/2022
Inactive	Uetz, Randy James	675154	Agent - Health	8/8/2016	8/25/2017
Inactive	Uetz, Randy James	675154	Agent - Life	8/8/2016	8/25/2017
Inactive	Willis, Stephen D	810623	Agent - Health	8/8/2016	3/31/2023
Inactive	Willis, Stephen D	810623	Agent - Life	8/8/2016	3/31/2023
Inactive	Yagerman, Cary	703612	Agent - Health	8/8/2016	3/31/2023
Inactive	Yagerman, Cary	703612	Agent - Life	8/8/2016	3/31/2023