DEPARTMENT OF INSURANCE

Affiliations

Name	Premier Work-Site Solutions, LLC	DOIID	1376433	NAIC NPN	13812180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	12/12/2024		3/31/2026
* 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
Active	Borella, Matthew L	565317	Administrator - Not Applicable	12/12/2024