DEPARTMENT OF INSURANCE

Name	Bennett, Bruce L	DOIID	339080	NAIC NPN	2348338

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health Maintenance Organization	4/28/1999	3/1/2001
Inactive	Non Resident	Agent	Life	6/23/1999	8/31/2015
Inactive	Non Resident	Agent	Health	6/23/1999	8/31/2015

*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. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	1600 Aspen Commons Ste # 600Middleton, WI 53562
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(866) 836-6162