DEPARTMENT OF INSURANCE

Name	Mercer Health & Benefits Administration Llc	DOIID	656414

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending	Non Resident	Administrator	Not Applicable
Active	Non Resident	Agent	Life	5/4/2011	3/31/2025
Active	Non Resident	Agent	Personal Lines	4/22/2014	3/31/2025
Active	Non Resident	Agent	Health	5/4/2011	3/31/2025
Active	Non Resident	Agent	Property	8/19/2013	3/31/2025
Active	Non Resident	Agent	Casualty	8/19/2013	3/31/2025
Denied	Non Resident	Agent	Variable Life and Variable Annuities
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/19/2013	3/31/2025

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

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

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

Address Information

Type	Address
Business / Home Office	12421 Meredith Dr Urbandale, IA 503989001

Internet Information

Type	Address
Personal Email	licensing.support@marsh.com

Phone Information

Type	Phone
Business / Home Office	(212) 345-9680