DEPARTMENT OF INSURANCE

Name	Fourth Generation Benefits, LLC	DOIID	1126200	NAIC NPN	19833236

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Life	3/24/2021	4/15/2021
Inactive	Non Resident	Agent	Health	3/24/2021	4/15/2021

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	3690 W Gandy Blvd Ste 561 Tampa, FL 33611

Phone Information

Type	Phone
Business / Home Office	(813) 361-6202