DEPARTMENT OF INSURANCE

Name	Broadstone Benefits Solutions, LLC	DOIID	1126288	NAIC NPN	19832004

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	3/25/2021	3/31/2023
Inactive	Non Resident	Agent	Health	3/25/2021	3/31/2023

*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	20818 Parkstone Terrace Lakewood Ranch, FL 34202

Phone Information

Type	Phone
Business / Home Office	(941) 524-5083