DEPARTMENT OF INSURANCE

Affiliations

Name	Universal Benefits LLC	DOIID	397378	NAIC NPN	2014554

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	11/20/1990	4/2/2019
* 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	Walker, Edward H	392199	Administrator - Not Applicable	4/7/2004	4/2/2019
Inactive	Warner, Robert William	354004	Administrator - Not Applicable	11/20/1990	8/31/2003