DEPARTMENT OF INSURANCE

Affiliations

Name	Fourth Generation Benefits, LLC	DOIID	1126200	NAIC NPN	19833236

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/24/2021	4/15/2021
Inactive	Non Resident	Agent	Life	3/24/2021	4/15/2021
* 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	Kosloske, Tyler	931107	Agent - Health	3/24/2021	4/15/2021
Inactive	Kosloske, Tyler	931107	Agent - Life	3/24/2021	4/15/2021