DEPARTMENT OF INSURANCE

Affiliations

Name	Benefit Planners Limited LLP DBA : Fiserv Health-Benefit Planner	DOIID	523411	NAIC NPN	1338663

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	4/20/2001	1/8/2007
* 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	Cusick, Thomas Patrick	522993	Administrator - Not Applicable	4/20/2001	3/31/2005
Inactive	Troyer, Bryan	513552	Administrator - Not Applicable	8/8/2006	1/8/2007