DEPARTMENT OF INSURANCE

Affiliations

Name	Namely Employee Benefits LLC DBA : Namely Insurance Services	DOIID	937081	NAIC NPN	18178998

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	12/13/2024	3/31/2026
Active	Non Resident	Agent	Life	12/13/2024	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

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	Aetna Health Inc. (PA)	660717	Agent - Health	10/9/2017	11/11/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/3/2017	11/11/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/3/2017	11/11/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/29/2019	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/29/2019	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/29/2019	12/10/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/16/2018	4/12/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/16/2018	4/12/2019
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/3/2017	11/11/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/3/2019	4/8/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	11/10/2020	11/11/2024
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	11/10/2020	11/11/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/6/2018	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/6/2018	10/5/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/26/2019	11/11/2024
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/26/2019	11/11/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/11/2019	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Health	11/11/2019	4/8/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/3/2019	4/8/2020
Active	Metropolitan Life Insurance Company	301948	Agent - Health	12/18/2024
Active	Metropolitan Life Insurance Company	301948	Agent - Life	12/18/2024
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	11/13/2018	12/10/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/13/2018	12/10/2020
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	8/27/2018	11/11/2024
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	8/27/2018	11/11/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/1/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/1/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/1/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	2/1/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/1/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	2/1/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Autuori, Gregory M	921395	Agent - Health	3/5/2018	11/11/2024
Inactive	Autuori, Gregory M	921395	Agent - Life	3/5/2018	11/11/2024
Inactive	Lahayne, Robert Russell	865529	Agent - Health	11/14/2016	3/5/2018
Inactive	Lahayne, Robert Russell	865529	Agent - Life	11/14/2016	3/5/2018
Inactive	Marincik, Christopher John	911477	Agent - Health	12/19/2018	4/30/2021
Inactive	Marincik, Christopher John	911477	Agent - Life	12/19/2018	4/30/2021
Inactive	Monahan, Matthew Kenneth	762802	Agent - Health	12/19/2018	6/7/2019
Inactive	Monahan, Matthew Kenneth	762802	Agent - Life	12/19/2018	6/7/2019
Active	Thompson, Daniel C	1108435	Agent - Health	12/13/2024
Active	Thompson, Daniel C	1108435	Agent - Life	12/13/2024