DEPARTMENT OF INSURANCE

Affiliations

Name	My Benefit Advisor LLC	DOIID	674657	NAIC NPN	8929602

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/6/2023	3/31/2026
Active	Non Resident	Agent	Property	11/6/2023	3/31/2026
Active	Non Resident	Agent	Health	7/11/2008	3/31/2026
Active	Non Resident	Agent	Life	7/11/2008	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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/3/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/23/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	1/3/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	1/3/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	4/23/2019	8/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/13/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/1/2022	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/13/2020	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/13/2020	4/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/1/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/23/2019
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	10/6/2008	6/30/2025
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	10/6/2008	6/30/2025
Active	First Health Life & Health Insurance Company	301735	Agent - Health	1/3/2019
Active	Guardian Life Insurance Company of America	301316	Agent - Health	10/27/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Life	10/27/2021
Inactive	HealthSpring National Health Insurance Company	300235	Agent - Health	11/20/2023	12/26/2024
Inactive	Lasso Healthcare Insurance Company	1022651	Agent - Health	8/22/2019	1/2/2024
Active	Medco Containment Life Insurance Company	301557	Agent - Health	1/11/2024
Active	SilverScript Insurance Company	663526	Agent - Health	10/19/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/24/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/24/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/24/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/24/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	9/20/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Baseman, Isadore R	897148	Agent - Casualty	11/6/2023
Active	Baseman, Isadore R	897148	Agent - Property	11/6/2023
Inactive	Caputo, Gina A	667741	Agent - Health	7/11/2008	1/25/2010
Inactive	Caputo, Gina A	667741	Agent - Life	7/11/2008	1/25/2010
Inactive	Hanney, Michael D	709017	Agent - Health	1/25/2010	11/30/2016
Inactive	Hanney, Michael D	709017	Agent - Life	1/25/2010	11/30/2016
Inactive	Roberts, Glynis Fiona	913992	Agent - Health	7/20/2016	9/5/2024
Inactive	Roberts, Glynis Fiona	913992	Agent - Life	7/20/2016	9/5/2024
Active	Scherff, Avon	1353729	Agent - Health	10/2/2024
Active	Scherff, Avon	1353729	Agent - Life	10/2/2024