DEPARTMENT OF INSURANCE

Name	Kane, Lori Sue	DOIID	579947	NAIC NPN	1763321

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Administrator	Not Applicable	10/23/2003		10/31/2024

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	08/15/2024	10/31/2024

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
Residence	Not Public Information
Mailing	MedBen PO Box 1099 1975 Tamarack RoadNewark, OH 430581099
Business / Home Office	MedBen PO Box 1099 1975 Tamarack RoadNewark, OH 430581099

Internet Information

Type	Address
Business Email	lkane@medben.com

Phone Information

Type	Phone
Business / Home Office	(740) 522-8425