DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Employee Benefit Systems, Inc.	DOIID	525948	NAIC NPN	5646503

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	6/25/2001	5/31/2003
* 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	Abel, Mirtha C	535276	Administrator - Not Applicable	8/9/2001	4/30/2004
Inactive	Hanes, Sandra Dian	535275	Administrator - Not Applicable	8/9/2001	10/31/2004
Inactive	Harrison, Christopher S	533248	Administrator - Not Applicable	6/25/2001	5/31/2003
Inactive	Stephen, Jacquline M	535272	Administrator - Not Applicable	8/9/2001	9/30/2004
Inactive	Waren, Marshall Hughes	533250	Administrator - Not Applicable	6/25/2001	9/30/2003