DEPARTMENT OF INSURANCE

Name	Henry Schein One	DOIID	1056194	NAIC NPN	18867235

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Life	9/16/2019		3/31/2027
Active	Non Resident	Agent	Health	9/16/2019		3/31/2027

*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
Agent	01/15/2025	03/31/2025	01/09/2025	01/09/2025	Yes

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

Address Information

Type	Address
Business / Home Office	1220 South 630 East American Fork, UT 84003

Internet Information

Type	Address
Business Email	Legal@henryscheinone.com

Phone Information

Type	Phone
Business / Home Office	(801) 763-9300