DEPARTMENT OF INSURANCE

Name	Champion Benefit Advisors LLC	DOIID	1310110	NAIC NPN	20874871

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	11/10/2023		3/31/2027
Active	Non Resident	Agent	Health	11/10/2023		3/31/2027

*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	2601 Network Blvd Ste 501 Frisco, TX 75034

Internet Information

Type	Address
Business Email	cfortenberry@premierhsllc.com

Phone Information

Type	Phone
Business / Home Office	(682) 498-8055