PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBw Employee Benefits LLCDOIID683053NAIC NPN3899264
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife3/9/2024 3/31/2026
ActiveNon ResidentAgentHealth3/9/2024 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/7/200811/2/2016
InactiveAnthem Insurance Companies, Inc.300941Agent - Health7/7/200810/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health7/7/200811/2/2016
InactiveAnthem Life Insurance Company301209Agent - Life7/7/200811/2/2016
InactiveCompBenefits Dental, Inc.591692Agent - Health11/4/20165/2/2017
InactiveDental Concern Inc. (The)301641Agent - Health11/4/20165/2/2017
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health11/4/20165/2/2017
InactiveHumana Health Plan, Inc.300142Agent - Health11/4/20165/2/2017
InactiveHumana Insurance Company301104Agent - Health11/4/20165/2/2017
InactiveHumana Insurance Company301104Agent - Life11/4/20165/2/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/4/20165/2/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/4/20165/2/2017
InactiveNationwide Life Insurance Company300495Agent - Health5/29/201310/17/2019
InactiveNationwide Life Insurance Company300495Agent - Life5/29/201310/17/2019
InactiveProfessional Insurance Company301281Agent - Health11/24/200910/1/2023
InactiveProfessional Insurance Company301281Agent - Life11/24/200910/1/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/27/201910/1/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/27/201910/1/2023
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/27/201910/1/2023
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/27/201910/1/2023
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCrouch, Amy L 1083941Agent - Health2/24/20227/31/2023
InactiveCrouch, Amy L 1083941Agent - Life2/4/20227/31/2023
ActiveGilbert, Eric Jon 1231121Agent - Health3/9/2024 
ActiveGilbert, Eric Jon 1231121Agent - Life3/9/2024 
InactiveTambe, Paul Michael 683055Agent - Health6/24/200811/30/2021
InactiveTambe, Paul Michael 683055Agent - Life6/24/200811/30/2021

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