DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	4mybenefits Inc	DOIID	1305651	NAIC NPN	12995560

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/18/2023		3/31/2025
Active	Non Resident	Agent	Life	10/18/2023		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ReliaStar Life Insurance Company	301712	Agent - Health	11/3/2023
Active	ReliaStar Life Insurance Company	301712	Agent - Life	11/3/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Peter, Justin S	700588	Agent - Health	10/18/2023
Active	Peter, Justin S	700588	Agent - Life	10/18/2023