DEPARTMENT OF INSURANCE

Affiliations

Name	American Benefits Administration, LLC	DOIID	1006633	NAIC NPN	18864688

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	8/23/2018	8/1/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Abbott, Ginger R	1116072	Administrator - Not Applicable	2/12/2021	8/1/2022
Inactive	Poole, Tammy M	865523	Administrator - Not Applicable	8/23/2018	2/12/2021