DEPARTMENT OF INSURANCE

Affiliations

Name	Walton, Brenda Jane	DOIID	802324	NAIC NPN	10428950

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	1/26/2013	2/28/2027
Active	Non Resident	Agent	Life	1/26/2013	2/28/2027
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/19/2014	7/9/2015
Active	Continental American Insurance Company	301700	Agent - Health	6/18/2013
Active	Continental American Insurance Company	301700	Agent - Life	6/18/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/19/2014	7/9/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/26/2015	4/10/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/26/2015	4/10/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/26/2015	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Health	8/26/2015	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Life	8/26/2015	4/10/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/26/2015	4/10/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/26/2015	4/10/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/26/2015	4/10/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	4/10/2017
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	8/2/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	8/2/2024
Active	ReliaStar Life Insurance Company	301712	Agent - Health	9/10/2015
Active	ReliaStar Life Insurance Company	301712	Agent - Life	9/10/2015
Active	Starmount Life Insurance Company	628031	Agent - Health	8/2/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Health	8/2/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	8/2/2024
Active	Unum Insurance Company	301499	Agent - Health	8/2/2024
Active	Unum Insurance Company	301499	Agent - Life	8/2/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Custom Benefit Programs Inc	630774	Agent - Health	3/11/2020
Active	Custom Benefit Programs Inc	630774	Agent - Life	3/11/2020