PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameConnected Benefits LLCDOIID922924NAIC NPN18038036
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife6/28/2022 3/31/2026
ActiveNon ResidentAgentHealth6/28/2022 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
InactiveAetna Health Inc. (PA)660717Agent - Health9/6/20163/31/2022
InactiveAetna Life Insurance Company301140Agent - Health9/6/20163/31/2022
InactiveAetna Life Insurance Company301140Agent - Life9/6/20163/31/2022
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health5/9/20176/24/2020
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life5/9/20176/24/2020
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/29/2022 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health6/29/202212/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/29/2022 
InactiveAnthem Life Insurance Company301209Agent - Health6/29/20224/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life6/29/20224/15/2025
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health9/19/2023 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health6/29/2022 
InactiveCoventry Health and Life Insurance Company301771Agent - Health9/6/20163/31/2022
InactiveDental Concern Inc. (The)301641Agent - Health1/16/201812/19/2019
InactiveGuardian Life Insurance Company of America301316Agent - Health3/27/20183/31/2022
InactiveGuardian Life Insurance Company of America301316Agent - Life3/27/20183/31/2022
InactiveHumana Health Plan, Inc.300142Agent - Health5/25/201712/15/2020
InactiveHumana Insurance Company301104Agent - Health12/19/201812/19/2019
InactiveHumana Insurance Company301104Agent - Life12/19/201812/19/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health8/3/201712/19/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Life8/3/201712/19/2019
InactiveNational Health Insurance Company300554Agent - Health8/29/20193/31/2022
InactiveNational Health Insurance Company300554Agent - Life8/29/20193/31/2022
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/19/2023 
InactiveUnitedHealthcare Insurance Company300946Agent - Life6/14/20173/31/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health6/14/20173/31/2022
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/14/20174/30/2018
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/19/2023 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBuchman, Kristina 997227Agent - Health7/24/20183/31/2022
InactiveBuchman, Kristina 997227Agent - Life7/24/20183/31/2022
InactiveGaydos, Robert 845158Agent - Health8/1/20163/31/2022
InactiveGaydos, Robert 845158Agent - Life8/1/20163/31/2022
ActiveHargis, Michael Scott 1292650Agent - Health10/25/2023 
ActiveHargis, Michael Scott 1292650Agent - Life10/25/2023 
InactiveJones, Clinton 925385Agent - Health6/28/202210/25/2023
InactiveJones, Clinton 925385Agent - Life6/28/202210/25/2023
InactivePoulin, Thomas Michel 991810Agent - Health5/25/20184/30/2021
InactivePoulin, Thomas Michel 991810Agent - Life5/25/20184/30/2021
ActiveSwade, Rommie Charles 851352Agent - Health2/14/2024 
InactiveSwade, Rommie Charles 851352Agent - Life2/14/20244/15/2025
InactiveWallace, William 956373Agent - Health6/21/20181/31/2021
InactiveWallace, William 956373Agent - Life6/21/20181/31/2021

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