DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Medical Benefits Administrators Inc.	DOIID	395813	NAIC NPN	3213689

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	3/8/2004		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
Inactive	Crum, Michael L	355397	Administrator - Not Applicable	10/15/1993	5/31/2003
Active	Fraker, Caroline Fischer Rouse	579946	Administrator - Not Applicable	3/8/2004
Inactive	Freeman, Douglas J	343910	Administrator - Not Applicable	10/15/1993	5/31/2003
Active	Harden, Kurt Jeffery	579943	Administrator - Not Applicable	3/8/2004
Active	Kane, Lori Sue	579947	Administrator - Not Applicable	3/8/2004
Inactive	Krajacic, Charles E	326639	Administrator - Not Applicable	3/8/2004	3/31/2006
Inactive	Reed, Grant R	389220	Administrator - Not Applicable	8/5/1999	5/31/2003