DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	KBA Benefit Solutions, LLC	DOIID	774036	NAIC NPN	16526917

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	2/3/2012		3/31/2026
Active	Resident	Agent	Health	2/3/2012		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	Baptist Health Plan, Inc.	300157	Agent - Health	2/14/2013	3/31/2019
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	8/14/2012	11/9/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	8/14/2012	11/9/2015
Active	Guardian Life Insurance Company of America	301316	Agent - Health	8/14/2012
Active	Guardian Life Insurance Company of America	301316	Agent - Life	8/14/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mattingly, Lisa M	329804	Agent - Health	2/3/2012
Active	Mattingly, Lisa M	329804	Agent - Life	2/3/2012