DEPARTMENT OF INSURANCE

Affiliations

Name	Exemplar Health Benefits Administrator LLC	DOIID	1045960	NAIC NPN	19213925

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	11/15/2022		3/31/2027
* 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	Dixon, Theresa E	1045959	Administrator - Not Applicable	10/14/2019	7/31/2022
Active	Lopp, Kirby Dianne	1238882	Administrator - Not Applicable	6/18/2025