DEPARTMENT OF INSURANCE

Name	Employee Benefits Services Corporation	DOIID	399799	NAIC NPN	7221943

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	10/9/1991	3/1/2001
Inactive	Resident	Agent	Life	12/27/1993	5/31/2003
Inactive	Resident	Agent	Health	5/31/2001	5/31/2003

*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	3130 Custer Drive Lexington, KY 40517

Phone Information

Type	Phone
Business / Home Office	(606) 266-2884