DEPARTMENT OF INSURANCE

Affiliations

Name	Managed Benefit Services, LLC	DOIID	1070450	NAIC NPN	18274458

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/13/2020	3/31/2022
* 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	Ogami, Thomas David	990364	Agent - Health	1/13/2020	3/31/2022