DEPARTMENT OF INSURANCE

Affiliations

Name	Benecom Company (TPA)	DOIID	620257	NAIC NPN	8649785

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	6/5/2024		3/31/2026
* 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
Active	Maddox, Mary Teresa	324962	Administrator - Not Applicable	6/5/2024