DEPARTMENT OF INSURANCE

Affiliations

Name	Group Benefits Solutions LLC DBA : GBS	DOIID	727851	NAIC NPN	7382654

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/10/2020		3/31/2026
Active	Non Resident	Agent	Health	4/10/2020		3/31/2026
Inactive	Non Resident	Agent	Casualty	4/10/2017	9/1/2019
Inactive	Non Resident	Agent	Property	4/10/2017	9/1/2019
* 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	9/15/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	9/15/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/10/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/15/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/10/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	5/10/2021
Active	Aetna Life Insurance Company	301140	Agent - Life	5/10/2021
Inactive	All Savers Insurance Company	301940	Agent - Health	1/9/2018	5/1/2018
Inactive	All Savers Insurance Company	301940	Agent - Life	1/9/2018	5/1/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/7/2017	5/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/7/2017	5/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/7/2017	5/1/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/14/2016	5/1/2018
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	2/19/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/15/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/15/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/13/2021	12/13/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/11/2015	5/1/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/11/2015	5/1/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/13/2021	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	5/13/2021	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/13/2021	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/13/2021	12/13/2022
Active	SilverScript Insurance Company	663526	Agent - Health	5/10/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/31/2022	2/19/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/27/2020	5/31/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/4/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/30/2022	5/31/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/27/2020	5/31/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/4/2022	2/19/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kohmann, Beth Ann	834096	Agent - Health	4/10/2020
Active	Kohmann, Beth Ann	834096	Agent - Life	4/10/2020
Inactive	Laggan, David William	726658	Agent - Health	5/10/2010	3/31/2012
Inactive	Laggan, David William	726658	Agent - Life	5/10/2010	3/31/2012
Inactive	Valko, Chelsea	949453	Agent - Casualty	4/10/2017	6/30/2019
Inactive	Valko, Chelsea	949453	Agent - Property	4/10/2017	6/30/2019