DEPARTMENT OF INSURANCE

Name	Preferred Benefits Services Agency, Inc.	DOIID	524664	NAIC NPN	2335048

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	Health	4/9/2001	5/31/2005
Inactive	Non Resident	Agent	Life	4/9/2001	5/31/2005

*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	1201 US Rt 23 N Delaware, OH 43015

Phone Information

Type	Phone
Business / Home Office	(740) 363-6028