DEPARTMENT OF INSURANCE

Affiliations

Name	CONEXIS Benefits Administrators, L.P.	DOIID	585938	NAIC NPN	8015541

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	7/14/2005	8/25/2014
* 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	Godeke, Raymond Dwight	585939	Administrator - Not Applicable	7/14/2005	4/11/2007
Inactive	Word, John Marion	572226	Administrator - Not Applicable	4/11/2007	7/20/2016