DEPARTMENT OF INSURANCE

Name	Premier Work-Site Solutions, LLC	DOIID	1376433	NAIC NPN	13812180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Administrator	Not Applicable	12/12/2024		3/31/2026

*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	700 Kinderamack Rd Suite 205Oradell, NJ 07649

Internet Information

Type	Address
Business Email	mborella@premierworksite.com

Phone Information

Type	Phone
Business / Home Office	(866) 463-8808