DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Benjamin, Netje D	DOIID	822084	NAIC NPN	6611950

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/26/2013	4/30/2017
Inactive	Non Resident	Agent	Health	9/26/2013	4/30/2017
Denied	Non Resident	Life Settlement Provider	Not Applicable
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/30/2015	4/30/2017
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/30/2015	4/30/2017
Inactive	Combined Insurance Company of America	301472	Agent - Health	3/26/2015	3/8/2017
Inactive	Combined Insurance Company of America	301472	Agent - Life	3/26/2015	3/8/2017
Inactive	Continental American Insurance Company	301700	Agent - Health	3/16/2015	6/27/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	3/16/2015	6/27/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/10/2015	5/15/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/10/2015	5/15/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/6/2015	4/30/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/6/2015	4/30/2017
Inactive	Texas Life Insurance Company	300345	Agent - Life	10/1/2015	4/30/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/6/2016	12/16/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/6/2016	12/16/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/6/2016	12/16/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/6/2016	12/16/2016
Inactive	Trustmark Insurance Company	300317	Agent - Health	3/8/2015	4/30/2017
Inactive	Trustmark Insurance Company	300317	Agent - Life	3/8/2015	4/30/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/6/2015	4/30/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/6/2015	4/30/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Life	3/8/2015	4/30/2017
Inactive	Willis Of Illinois Inc	398318	Agent - Health	3/8/2015	4/30/2017