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DEPARTMENT OF INSURANCE
Affiliations
Name
Tristar Benefit Administrators Inc
DOIID
751910
NAIC NPN
15851565
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Administrator
Not Applicable
11/13/2015
3/31/2027
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Administrator
01/15/2025
03/31/2025
01/24/2025
01/24/2025
Yes
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Buchwald, Lynette R
1030669
Administrator - Not Applicable
12/16/2021
Inactive
Demarco, Frank J
686405
Administrator - Not Applicable
4/12/2011
3/31/2012
Inactive
Devault, Lori
719793
Administrator - Not Applicable
10/5/2011
3/4/2013
Inactive
Jones, Jody
526854
Administrator - Not Applicable
10/5/2011
12/31/2012
Inactive
Sand, Sue N
1030703
Administrator - Not Applicable
10/30/2019
9/30/2021
Inactive
Sleiter, Ty J
803217
Administrator - Not Applicable
11/13/2015
7/31/2019
Inactive
Wentworth, Patricia
711123
Administrator - Not Applicable
10/5/2011
5/31/2014
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