DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	FGIBA Benefits & Administrators, LLC	DOIID	598590	NAIC NPN	8308677

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	8/12/2005	3/31/2007
Denied	Resident	Agent	Life
Denied	Resident	Agent	Health
* 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	Daniels, Richard William	347906	Administrator - Not Applicable	8/12/2005	3/31/2008
Denied	Daniels, Richard William	347906	Agent - Health
Denied	Daniels, Richard William	347906	Agent - Life