DEPARTMENT OF INSURANCE

Name	Fraker, Caroline Fischer Rouse	DOIID	579946	NAIC NPN	7921437

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Administrator	Not Applicable	10/23/2003		11/30/2024

*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	09/15/2024	11/30/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Mailing	MedBen PO Box 1099 1975 Tamarack RoadNewark, OH 43055
Business / Home Office	MedBen PO Box 1099 1975 Tamarack RoadNewark, OH 43055
Residence	Not Public Information

Internet Information

Type	Address
Business Email	cfraker@medben.com

Phone Information

Type	Phone
Business / Home Office	(740) 522-8425