DEPARTMENT OF INSURANCE

Name	Fidelity Benefits And Enrollment Services, LLC	DOIID	1401655	NAIC NPN	21540702

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	Health	5/23/2025		3/31/2027
Active	Non Resident	Agent	Life	5/23/2025		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	500 W 13th St Fort Worth, TX 761024620

Internet Information

Type	Address
Business Email	DOINOTICE@HIGGINBOTHAM.COM

Phone Information

Type	Phone
Business / Home Office	(817) 349-2292